Osteoid Osteoma of the Distal Phalanx of the Foot: An Atypical Location

2019 ◽  
Vol 109 (4) ◽  
pp. 334-337
Author(s):  
Hikmet Cinka ◽  
Huseyin Sina Coskun ◽  
Mesut Ozturk ◽  
Ferhat Say ◽  
Yakup Sancar Baris
Keyword(s):  
Osteoid Osteoma ◽  
Severe Pain ◽  
Benign Tumor ◽  
Distal Phalanx ◽  
Lower Limbs ◽  
Long Bones ◽  
Diagnostic Challenge ◽  
Radiologic Evaluation ◽  
Histopathologic Evaluation

Osteoid osteoma is a benign tumor originating from osteoblasts, and it is mostly seen in long bones of lower limbs. The distal phalanx of the foot is an atypical location for an osteoid osteoma, and lesions occurring in this location may be a diagnostic challenge. A 22-year-old man presented with a complaint of severe pain on the second distal phalanx of his right foot. An osteoid osteoma was suspected after radiologic evaluation. The lesion was surgically excised and removed completely by curettage. Histopathologic evaluation confirmed the diagnosis of an osteoid osteoma. The patient was followed-up for a 9-month period without any symptoms or recurrence.

scholarly journals Osteoid Osteoma of the Distal Humerus Mimicking Sequela of Pediatric Supracondylar Fracture: Arthroscopic Resection—Case Report and A Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Jordi Font Segura ◽  
Sergi Barrera-Ochoa ◽  
Albert Gargallo-Margarit ◽  
Eva Correa-Vázquez ◽  
Anna Isart-Torruella ◽  
...  
Keyword(s):  
Osteoid Osteoma ◽  
Confounding Factor ◽  
Clinical Signs ◽  
Distal Humerus ◽  
Supracondylar Fracture ◽  
Lower Limbs ◽  
Long Bones ◽  
Diagnostic Challenge ◽  
Difficult Diagnosis ◽  
Uncommon Location

Osteoid osteoma (OO) is a small and painful benign osteoblastic tumour located preferentially in the shaft of long bones near the metaphyseal junctions, with a predilection for the lower limbs. Juxta- and intra-articular OOs are rare and even though hip, elbow, and talus are the most commonly reported locations, they may be found in any joint accounting for approximately 13% of all osteoid osteomas. There is usually a significant time delay between symptom initiation and diagnosis when the lesion is present in an uncommon location due to the diagnostic challenge it presents due to the lack of classical clinical signs and/or radiographic features found in the extra-articular lesions. A case of a distal humerus OO of a 15-year-old girl is presented to point out that a confounding factor, such as a previous paediatric supracondylar fracture, may further delay the already difficult diagnosis of a juxta- or intra-articular osteoid osteoma and also to emphasize the possibility of arthroscopic treatment of such lesions.

scholarly journals Osteoid Osteoma of Distal Phalanx of Toe: A Rare Cause of Foot Pain

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Hakan Başar ◽  
Osman Mert Topkar ◽  
Bülent Erol
Keyword(s):  
Osteoid Osteoma ◽  
Chronic Infection ◽  
Severe Pain ◽  
Benign Tumor ◽  
Surgical Excision ◽  
Distal Phalanx ◽  
Foot Pain ◽  
Recurrent Tumour ◽  
Percutaneous Procedures ◽  
History Of

Osteoid osteoma is an uncommon benign tumor and causes severe pain, being worse at night, that responds dramatically to nonsteroidal anti-inflammatory medications. An osteoid osteoma of the toe is very rare and arising in a pedal phalanx may be difficult to diagnose. A 34-year-old male has local swelling and tenderness but there were no hyperemia, temperature increase, or clubbing. There was a 2-month history of antibiotic treatment with suspicion of soft tissue infection in another clinic. The osteoid osteoma was completely excised by curettage and nidus removal with open surgical technique. The patient was followed up for 63 months with annual clinical and radiographic evaluations. There was no relapse of the pain and no residual recurrent tumour. Osteoid osteoma may be difficult to distinguish from chronic infection or myxedema. The patients may be taken for unnecessary treatment. The aim of the treatment for osteoid osteoma is to remove entire nidus by open surgical excision or by percutaneous procedures such as percutaneous radiofrequency and laser ablation. Osteoid osteomas having radiologic and clinical features other than classical presentation of osteoid osteoma are called atypical osteoid osteomas. Atypical localized osteoid osteomas can be easily misdiagnosed and treatment is often complicated.

Open Surgical Hip Dislocation for an Acetabular Osteoid Osteoma - A Case Report

2022 ◽  
Vol 5 (1) ◽  
pp. 01-04
Author(s):  
Parker J. Prusick ◽  
Steven D. Jones ◽  
Jesse Roberts ◽  
Nathan Donaldson
Keyword(s):  
Case Report ◽  
Osteoid Osteoma ◽  
Proximal Femur ◽  
Benign Tumor ◽  
Hip Dislocation ◽  
Long Bones ◽  
Surgical Hip Dislocation ◽  
Sclerotic Bone

Osteoid osteoma is a benign tumor that accounts for roughly 10-12% of all benign bone forming tumors. This tumor generally occurs within the first three decades of life and occurs more commonly in males. This lesion is painful and is generally worse at night and has relief of symptoms with the use of NSAIDs. Osteoid osteoma is characterized by the production of osteoid surrounded by a rim of sclerotic bone. These lesions most commonly occur in long bones such as the proximal femur, however they can occur anywhere. Rarely, as with our patient, have these lesions been reported in the acetabulum.

OSTEOID OSTEOMA IN CHILDHOOD

PEDIATRICS ◽  
1952 ◽  
Vol 9 (3) ◽  
pp. 295-303
Author(s):  
HOWARD M. PURCELL ◽  
STEPHEN D. MILLS ◽  
PAUL R. LIPSCOMB
Keyword(s):  
Differential Diagnosis ◽  
Osteoid Osteoma ◽  
Mayo Clinic ◽  
Benign Tumor ◽  
Long Bones ◽  
Endochondral Bone ◽  
Incomplete Removal

Osteoid osteoma is a small, benign tumor usually of endochondral bone, affecting mainly the long bones of the extremities and occurring not uncommonly among children. It produces pain which may disturb sleep and interfere with normal activities. The roentgenogram reveals a radiolucent area surrounded by osteosclerosis. This is suggestive of osteoid osteoma but differential diagnosis from certain other neoplastic, inflammatory and metabolic lesions of bone must be made. Thirteen children with osteoid osteoma have been treated by excision of the lesion at the Mayo Clinic. The results have been uniform alleviation of symptoms. This experience and that obtained elsewhere has shown that incomplete removal of the nidus may lead to recurrence of the symptoms.

Osteoid Osteoma of Distal Phalanx of Middle Finger—A Diagnostic Dilemma

2016 ◽  
Vol 21 (03) ◽  
pp. 395-398 ◽  
Author(s):  
Bharat Durgia ◽  
Anuj Jain ◽  
Shekhar Agarwal
Keyword(s):  
Chronic Pain ◽  
Osteoid Osteoma ◽  
Lower Limb ◽  
Glomus Tumor ◽  
Surgical Excision ◽  
Middle Finger ◽  
Distal Phalanx ◽  
Long Bones ◽  
Diagnostic Dilemma ◽  
Uncommon Case

Osteoid Osteoma is benign bone forming tumor which commonly occurs in long bones of lower limb. Presence of these rare tumors in the distal phalanx of the digits of the hand is considered a rare phenomenon. In hand, they usually present as chronic pain, swelling, nail enlargement and increase in size of digit. Diagnosis is challenging with clinical examination and usual imaging modalities and often confused with glomus tumor, enchondroma, infection, trauma and rheumatic disease. Surgical excision of the tumor, if present in hand, is the treatment of choice that aids in coming to the exact diagnosis too. The aim of the paper is to report yet another uncommon case of osteoid osteoma of distal phalanx of middle finger mimicking glomus tumor.

scholarly journals Hallux Osteoid Osteoma: A Case Report and Literature Review

2017 ◽  
Vol 11 (1) ◽  
pp. 1066-1072 ◽  
Author(s):  
Konstantinos C. Xarchas ◽  
George Kyriakopoulos ◽  
Spyros Manthas ◽  
Leon Oikonomou
Keyword(s):  
Case Report ◽  
Osteoid Osteoma ◽  
Bone Tumour ◽  
Complete Removal ◽  
Distal Phalanx ◽  
Long Bones ◽  
Great Toe ◽  
Radiographic Findings ◽  
Benign Bone Tumour ◽  
Inflammatory Drugs

Osteoid osteoma is a benign bone tumour that mostly affects males in the second and third decade of their life. The lesion mainly occurs in long bones, usually in the femur and tibia, causing severe localized pain that is worse at night and responds to nonsteroidal anti-inflammatory drugs (NSAIDs). Diagnosis is usually made on the basis of history and radiographic findings. However, in more unusual locations as the hand and foot, diagnostic issues can arise. Treatment often includes complete removal of the tumor. We present a 22 year old male with osteoid osteoma involving the distal phalanx of the hallux. To our knowledge very few cases of great toe osteoid osteoma have been reported in the literature.

scholarly journals Osteoid Osteoma of Distal Phalanx of Little Finger

2013 ◽  
Vol 11 (2) ◽  
pp. 46-49
Author(s):  
Amit Joshi ◽  
Nirab Kayastha
Keyword(s):  
Osteoid Osteoma ◽  
Distal Phalanx ◽  
Lower Limbs ◽  
Lytic Lesion ◽  
Digital Nerve ◽  
Nail Bed ◽  
Uncommon Case ◽  
One Year ◽  
Digital Nerve Block ◽  
Little Finger

Osteoid Osteoma is benign bone forming tumor commonly occurs in lower limbs. Osteoid Osteoma of upper limb is rare, and it is extremely rare in hands. We report a case of a 20 year old male who presented with complaints of pain in nail bed of left little finger over a period of one year with gradually increasing swelling and deformity of nail. Radiological examination revealed a well-defined lytic lesion with sclerotic margin at distal phalanx with a nidus at center. Curettage and removal of nidus was done under digital nerve block. He was symptom free from next day of surgery and the tip of the finger has significantly regained its original shape over a period of two years. The aim of this paper is to report yet another uncommon case of osteoid Osteoma located at distal phalanx of little finger.Medical Journal of Shree Birendra Hospital; July-December 2012/vol.11/Issue2/46-49 DOI: http://dx.doi.org/10.3126/mjsbh.v11i2.7911 

scholarly journals Osteoid Osteoma of the Great Toe Mimicking Osteomyelitis: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ismail Turkmen ◽  
Bugra Alpan ◽  
Salih Soylemez ◽  
Feyza Unlu Ozkan ◽  
Koray Unay ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Osteoid Osteoma ◽  
Severe Pain ◽  
Young Male ◽  
Benign Tumors ◽  
Long Bones ◽  
Review Of The Literature ◽  
Great Toe ◽  
Diagnostic Dilemma

Osteoid osteomas are well-known benign tumors, seen generally in long bones. When seen in phalanxes or toes, they can cause a diagnostic dilemma. A young male presented to us with complaints of enlargement of the great toe and severe pain. He had had an ingrown toe-nail operation before, and this situation caused a diagnostic dilemma. In this case report, we emphasize that osteoid osteomas can cause diagnostic dilemmas and it should be kept in mind as a differential diagnosis.

Childhood Scurvy: A Nearly Extinct Disease Posing a New Diagnostic Challenge, a Case Report

2019 ◽  
Vol 66 (2) ◽  
pp. 231-233 ◽  
Author(s):  
Neeraj Gupta ◽  
Nisha Toteja ◽  
Rohit Sasidharan ◽  
Kuldeep Singh
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Vitamin C ◽  
Severe Pain ◽  
Lower Limbs ◽  
Supportive Evidence ◽  
Diagnostic Challenge ◽  
Vitamin C Supplementation ◽  
Radiological Changes

Abstract Scurvy is seldom encountered in modern day clinical practice. Children can present with nonspecific features which can mimic several other common conditions. We describe here a four-year-old child who presented with severe pain and weakness of bilateral lower limbs and found to be severely malnourished. The diagnosis of scurvy was suspected in the context of underlying malnutrition after excluding other ominous pathologies. Pathognomic radiological changes clinched the diagnosis, and the best supportive evidence was the dramatic response to vitamin C supplementation.

scholarly journals Osteoid Osteoma of the Distal Phalanx of the Hallux

Research ◽  
2018 ◽  
Vol 5 ◽  
Author(s):  
Amine Kalai ◽  
Sana Salah ◽  
Badii Hmida ◽  
Anis Jellad ◽  
Mondher Golli ◽  
...  
Keyword(s):  
Osteoid Osteoma ◽  
Distal Phalanx
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