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

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Attilio Basile
Federico Maria Liuni
Alberto Fontanarosa
Carmine Zoccali
Jacopo Baldi
Riccardo Maria Lanzetti


osteoid osteoma, foot, hallux, phalanx, excision.


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.


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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.

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