Subperiosteal osteoid osteoma of the distal phalanx of the fourth toe

Non-subungual presentation of osteochondroma in toes-A case report with review of literature

A 23-year-old male presented with long-standing swelling in the middle of the third toe right side with difficulty in wearing footwear. Clinical examination revealed it as bony hard fixed swelling moving with interphalangeal joint movements. Clinical diagnosis of benign bony swelling was made and radiological investigation demonstrated features suggestive of osteochondroma. En-mass excision of the lesion was done, with histo-pathological confirmation of osteochondroma. Although the subungual presentation of osteochondroma or exostosis in toes is quite common, the astounding non-subungual presentation should also be kept in mind as a plausible differential diagnosis of benign bony swelling in toes.

[Difficulties in diagnosing an osteoid osteoma of the big toe : A case report with review of the literature]

BACKGROUND

Osteoid osteomas belong to the benign osseous neoplasia and can occur on the entire skeleton. The prolonged diagnosis of an osteoid osteoma of the great toe prompted us to prepare a case report with a literature review to identify possible sources of error and to contribute to a more expeditious diagnosis and therapy.

LITERATURE

Currently, only two case reports on osteoid osteomas of the toes are known in the German literature. Internationally, however, a large number of cases have been described, which, when viewed as a whole, present a homogeneous picture. A very clear accumulation of osteoid osteomas at the distal phalanx of the great toe suggests a possible post-traumatic aetiology. The typical NSAID-sensitive night pain is clinically unambiguous and should make one think of an osteoid osteoma at any site on the body. The symptom of macrodactyly, which is unique to the toes, is striking and may provide a helpful clue to establishing the diagnosis. The median time from symptom onset to correct diagnosis was 12 months. One possible reason for this prolonged diagnosis is the often atypical and ambiguous imaging. Surgical therapy is the method of choice for osteoid osteomas of the toes and should always be supplemented by histopathologic examination.

Osteoid osteoma of the great toe mimicking osteomyelitis: a case report and review of the literature

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.

Osteoid osteoma of the great toe: A case report

Osteoid osteoma of the great toe is an uncommon finding and usually treated with radiofrequency ablation. We present a case that is more appropriately treated with surgical excision.

Painful and tender toe, osteoid osteoma of the distal phalanx of toe, a diagnostic dilemma

Osteoid osteoma rarely involves the phalanges of the toes. Basically osteoid osteoma is often a diagnostic dilemma in musculoskeletal practice especially in the foot and ankle. Its presentation is confusing and this may result in delayed diagnosis. We have reported a case of osteoid osteoma of the distal phalanx of the second toe which was treated successfully with surgical excision and reviewed the literature.

Subperiosteal osteoid osteoma in the hallux of a 9-year-old female

Osteoid osteoma arising in the phalanx is rather uncommon, and although the clinical and radiographic findings can be characteristic, the diagnosis is not always clear. In this article, we describe the case of a 9-year-old female who presented with a painful toe that, after careful evaluation and excisional biopsy, was determined to be caused by subperiosteal osteoid osteoma. The lesion was treated successfully with excision of the nidus.