A 42 year old man came with complaint of pain and swelling in the foot
The clinical photograph shows classical signs of a infective lesion with sinuses.
There is extensive soft tissue swelling in the heel. There is a destructive lesion in the calcaneum with extensive areas of sclerosis. A focal area of osteolysis along the posterior part of the inferior border is associated with a small radiolucent region with a piece of bone in its center.