This article presents an overview of mycetoma and offers guidelines for orthopaedic surgeons who may be involved in the care of patients with this condition.

Cite this article: Bone Joint J 2014;96-B:420–5.

1. Twenty cases of mycetoma pedis are described. 2. Most patients had the disease in an early stage and were cured by simple excision. 3. The importance of early diagnosis and treatment in order to avoid amputation is emphasised