Blunt injury to top of foot... now large fluid lump

[jennish11]

Dear Foot Doc,

I am a healthy 28 year old femail. I was at a friend's birthday party with a lot of balloons. I went to kick a balloon as hard as I could and a split second before I did, my large 6'5" boyfriend did the same thing. Consequentially, as my foot was going up as fast as possible, his foot was coming down. The heel of his dress shoe slammed down on top of my foot... about half way up.

I went to the doctor after I couldn't walk on it at all two days later. They took x-rays and said there was no break, and probably just extensive soft tissue damage. The entire top of my foor was a faint blue color and felt "squishy", for the lack of a better word. I bought a post surgery shoe and wore it for three weeks whenever I walked.

About three weeks later I went back to the doctor. I was experiencing sharp, random pains throughout my foot (along with ankle pains which I figured was from walking funny on it for three weeks) and a large bump on the top of the foot that felt like it was full of fluid. I was sent to an orthopedic specialist after they told me it was a ganglian cyst (which I laughed at) just to be sure.

The orthopedic specialist said I had a small crack on one of the flat bones on the top of my foot (don't remember if she said which one) and that this lump on the top of my foot was probably an anerysm.

My question is, what are other possibilities that this lump could be? It's been two weeks since I saw the specialist and it has very slightly gone down in size, but seems to to gotten slightly wider at the same time. Also, around the lump it has gotten hard, so that it is raised up further than the other bones.

Thank you for your help.

[FootDoc]

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First of all, I hardly think that aneurysm is the correct medical terminology for what you might have. An aneurysm is a ballooning out of an artery due to structural weakness in the arterial wall, and I would be surprised if that defined what you have. A ganglionic cyst is a hard jelly-like filled cyst which is attached to and arising from the lining of a tendon, and that probably is also a not especially likely diagnosis. I would think it more likely that the lump is a hematoma which has organized into a tumorous mass and may need to be evacuated and/or removed. But this is all useless conjecture, as it cannot represent an opinion based on an actual evaluation, especially as word descriptions of lay persons are generally so vague, medically inaccurate and non-specific so as to be a totally unreliable basis for such opinion. I would have you rely on the doctors who have examined you and are taking actual responsibility for your treatment.