Osteoid osteoma of the proximal phalanx of the hallux: a case report of a challenging diagnosis

Main Article Content

Attilio Basile
Department of Orthopaedics and Traumatology, Azienda Ospedaliera San Camillo Forlanini, Rome, Italy

Federico Maria Liuni
Department of Orthopaedics and Traumatology, Santa Maria Hospital, Borgo Val di Taro (PR), Italy

Alberto Fontanarosa
Department of Orthopaedics and Traumatology, Santa Maria Hospital, Borgo Val di Taro (PR), Italy

Carmine Zoccali
Oncological Orthopedics Department, Regina Elena National Cancer Institute, Rome, Italy

Jacopo Baldi
Oncological Orthopedics Department, Regina Elena National Cancer Institute, Rome, Italy

Riccardo Maria Lanzetti
Azienda Ospedaliera San Camillo Forlanini

Keywords

osteoid osteoma, foot, hallux, phalanx, excision.

Abstract

Osteoid osteoma is a benign bone lesion that accounts for approximately 10% to 12% of all benign bone tumors. More than 80% of lesions occur in patients between 5 to 25 years old; males are more commonly affected with a ratio of 3:1. The foot is rarely involved: its involvement is less than 4% in the foot and of 1.7% in the metatarsals. In this paper we discuss the case of a 27-years-old woman with a 12 months follow-up, presented with an osteoid osteoma of the proximal phalanx of the great toe that underwent an en-bloc excision of the lesion and subsequent filling with cancellous autograft from the ipsilateral calcaneus.

Downloads

Download data is not yet available.
Abstract 154 | PDF Downloads 44

References

Frassica FJ, Waltrip RL, Sponseller PD, Ma LD, McCarthy EF Jr. Clinicopathologic features and treatment of osteoid osteoma and osteoblastoma in children and adolescents. Orthop Clin North Am. 1996;27(3):559-574
Jaffe HL. Osteoid osteoma. A benign osteoblastic tumour composed of osteoide and atypical bone. Arch Surg. 1935; 31(5):709-728.
Spencer EE, Beirman JS, Femino JE. Osteoid osteoma of the fifth metatarsal: a case report and literature review. Foot Ankle Surg. 2002;8(1):71-78.
Jackson RP, Reckling FW, Mantz FA. Osteoid osteoma and osteoblastoma. Similar histologic lesions with different natural histories. Clin Orthop Relat Res. 1977;128:303-313
Anderson WA, Kissane JM. Pathology. St. Louis: C.V. Mosby; 1977. pp. 1970–2011.
Asunción J, Torrent J, González C, Poggio D. Intra-Articular Osteoid Osteoma of the First Metatarsal. Foot Ankle Int. 2013 Mar;34(3):448-54.
Jowett C, Singh D. Osteoid osteoma of the great toe: A case report. Foot Ankle Surg. 2010 Jun;16(2):e12-5.
Shereff MJ, Cullivan WT, Johnson KA. Osteoid-osteoma of the foot. J Bone Joint Surg Am. 1983;65(5):638-641.
Shukla S, Clarke AW, Saifuddin A. Imaging features of foot osteoid osteoma. Skeletal Radiol. 2010;39(7):683-689.
Benchakroun M, El Bardouni A, Kharmaz M, et al. L’ostéome ostéöide du pied (à propos de 10 cas). Med Chir Pied. 2004;20(1):23-28.
Ebrahimzadeh MH, Omidi-Kashani F, Hoseini MR. Painful and tender toe, osteoid osteoma of the distal phalanx of toe, a diagnostic dilemma. Foot. 2009;19(4):232-235.
Sproule J, Khan F, Fogarty EE. Osteoid osteoma: painful enlargement of the second toe. Arch Orthop Trauma Surg. 2004;124(5):354-356.
LaCroix ML, Thomas JR, Nicholas RW. Subperiosteal osteoid osteoma of the distal phalanx of the fourth toe. Orthopedics 2001;24:695–6.
Hattori H, Takase K, Morohashi A. Osteoma osteoid of the great toe. Orthopedics. 2011;34(8):e432-435.
Öztürk A, Yalçinkaya U, Özkan Y, Yalçin N. Subperiosteas osteoid osteoma in the hallux of a 9-year-old female. J Foot Ankle Surg. 2008;47(6):579-582.
Rapp M, Kaiser MM. Osteoid osteoma: a painless enlargement of the great toe. Surg J. 2010;5(1):9-12.
Onoue K, Kudawara I. Osteoid osteoma with cartilage formation of the distal phalanx in the toe. Orthopedics 2007;30(8):670–1.
Ekmekci P, Bostanci S, Erdogan N, Akcaboy B, Gungey E. A painless subungal osteoid osteoma. Dermatol Surg 2001;27:764–5
Ostrowski ML, Spjut HJ. Lesions of the bones of the hands and feet. Am J Surg Pathol 1997;21:676–90.
Kahn MD, Tiano FJ, Lillie RC. Osteoid osteoma of the great toe. J Foot Surg 1983;22(4):325–8.
Franceschi F, Marinozzi A, Papalia R, Longo UG, Gualdi G, Denaro E. Intra and juxtaarticular osteoid osteoma: a diagnostic challenge: misdiagnosis and successful treatment: a report of four cases. Arch Orthop Trauma Surg. 2006;126(10):660-667.

Article Sidebar

PDF
Published
May 11, 2020
DOI https://doi.org/10.23750/abm.v91i2.8493

Article Details

How to Cite

1.
Basile A, Liuni FM, Fontanarosa A, Zoccali C, Baldi J, Lanzetti RM. Osteoid osteoma of the proximal phalanx of the hallux: a case report of a challenging diagnosis. Acta Biomed [Internet]. 2020 May 11 [cited 2021 Jun. 22];91(2):360-4. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/8493
Issue
Vol. 91 No. 2 (2020): COVID-19
Section
Case Reports

NOTICE TO AUTHORS - Copyrights

The Authors confirm that neither the manuscript nor any part of it has been published or is under consideration for publication elsewhere. The same Authors assign all rights, including but no limiteded to the copyright, for the present manuscript to Acta Biomedica upon its acceptance for publication. When the manuscript is accepted, the Editorial office of Acta Biomedica inform about the Author reported in the manuscript . If  no reply will be received, Acta Biomedica Editorial office will apply the rule “no response means implied consent” and it will proceed with the publication.

Accepted papers become the permanent property of ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA and no part may be reproduced, stored in a retrieval system or transmitted in any form or by any means without the prior permission of both the author and the publisher.