Osteochondroma of Great Toe – A Rare Presentation
نویسندگان
چکیده
Introduction The lesions consist of a bony mass, often in the form of a stalk, produced by progressive endochondral ossification of a growing cartilaginous cap. In contrast to true neoplasms, their growth usually parallels that of the patient and usually ceases when skeletal maturity is reached. Most lesions are found during the period of rapid skeletal growth. Trauma is often a precipitating factor and subungual osteochondroma may represent cartilaginous metaplasia occurring in response to acute or chronic irritation [1, 2] X-ray shows large radiolucent cartilaginous cap [3]. There is no cortical disruption or other abnormality of the distal phalanx [1]. Case Presentation 12 yrs old boy presented to OPD with pain over right great toe. Clinically there was redness, swelling, raised local temperature and tender to touch [Fig 1]. Meticulous history suggested that the patient was having on and off fever episodes. The patient was investigated in the form of foot x-ray AP and Lateral view. X-ray showed bony overgrowth over the distal phalanx of the great toe [Fig 2]. Once the patient was fit for surgical management, excision was done. Intra-operatively the swelling was found to be of pea sized situated underneath the nail bed [Fig 3]. The bony overgrowth excised [Fig 4] was sent to histopathological examination for confirmation of diagnosis. The HPE report suggested osteochondroma of the distal phalanx of great toe. The great toe was immobilized for 2 weeks by strapping it with 2nd toe and was kept non-weight bearing. At 6 weeks follow up, the wound was completely healed [Fig 5]. At 2 yrs 1 ACPM Medical College, Dhule 424001, Maharashtra India. Address of Correspondence Dr. Vikram Vilasrao Kadu C/O vilas shamrao kadu, Plot no. 20, Kadu House, Barde layout, Friends colony, Katol Road
منابع مشابه
استئوکندرم فورامن ماگنوم: گزارش موردی
Background: Osteochondroma is a common tumor of the skeletal bone and is a common benign tumor of the bone constitutes 10-15% of all and 20-50% of the benign bone tumors. The lesion is an exophytic bony protrusion covered by a cartilaginous cap. It is most commonly found in long bones, and especially at the epiphysis. Nearly 40% of cases are seen around the knee joint. Osteochondroma rarel...
متن کاملRetrocalcaneal Bursitis due to Rare Calcaneal Osteochondroma in Adult Male : Excision and Outcome
INTRODUCTION Osteochondroma is the most common benign tumour of the bone and is considered as developmental lesion of the bone. Common site of osteochondroma presentation is around the knee but calcaneal osteochondroma as such is a rare entity. Osteochondromas grow during childhood through adolescence, but usually the growth of osteochondroma ends when the epiphyseal plates close. In an adult, ...
متن کاملSubungual Exostosis in a Young Soccer Player
BACKGROUND Subungual exostosis is a relatively uncommon, benign osteocartilaginous tumor of the distal phalanx of the toes or fingers in young adults, considered as a rare variant of osteochondroma. Differential diagnoses include subungual verruca (viral wart), pyogenic granuloma, osteochondroma, amelanotic subungual melanoma and glomus tumour. Misdiagnosis and total onychodystrophy frequently ...
متن کاملExtensive Osteochondroma of Talus Presenting as Tarsal Tunnel Syndrome: Report of a case and Literature Review
Osteochondroma or exostosis is the most common benign bone tumor, and occurring frequently in the proximal humerus, tibia, and distal femur. It rarely affects talus. Osteochondroma of talus is a very rare etiology of tarsal tunnel syndrome (TTS). We report a rare case of extensive osteochondroma of the talus in a 60 year old female presenting with multiple swellings around the ankle and sympt...
متن کامل