L’ostéome ostéoïde du pied (à propos de 10 cas)

Benchakroun, Mohammed; Bardouni, Ahmed El; Kharmaz, Mohamed; Zaddoug, Omar; Chiboub, H.; Yaakoubi, M.; Hermas, M.; Wahbi, S.; Ouazzani, N.; Manouar, M. El

doi:10.1007/s10243-004-0002

Cited by 3 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In these cases, joint symptoms predominate, such as synovitis, joint effusion, and decreased joint mobility, 7,16,25,27 and may simulate and mimic other diseases. When located in the distal phalanx of the fingers, bulging calcaneus, cuboid, navicular, and phalanges 2,6,11,12,14,23,25,26,28 and even the cuneiform bones may be affected. 2,4,20 and local swelling may cause the appearance of clubbed fingers, which, together with the increase in temperature and sensitivity and vasomotor disturbances such as hyperhydrosis, can cause confusion with an infectious process, but in these cases there is no increase in C-reactive protein.…”

Section: Discussionmentioning

confidence: 98%

“…OO in the bones of the foot does not usually present the typical ring-like x-ray images, and many changes may be seen, including generalized osteoporosis of the foot, an area of homogeneous or heterogeneous opacity without a clear halo, sclerotic cortical thickening with periosteal reaction, or a periosteal reaction surrounded by a geode. 2 Moreover, in many cases these radiological manifestations may be slow to appear.…”

Section: Discussionmentioning

confidence: 99%

“…In cases in which joint involvement is significant or when resection causes joint instability, simultaneous OO resection and arthrodesis of the affected joint may be necessary. 2,14 The use of bone trephines allows simple and precise en bloc resection, which is relatively nonaggressive and maintains the bone structural stability due to the small amount of bone excision. 15,18 The filling of the cavity with bone graft may be necessary in some cases, especially when small cancellous bones are affected or in intra-articular locations as in this case, 17,19 but synthetic bone can also be used.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Intra-Articular Osteoid Osteoma of the First Metatarsal

et al. 2013

View full text Add to dashboard Cite

Osteoid osteoma (OO) is a solitary benign bone-forming tumor, which accounts for approximately 10% of all benign bone tumors. 8 Although most publications attribute the first report to Jaffe in 1935, 3,13 Bergstrand was probably the first to describe two cases, in 1930. 16,25,29 OO appears most commonly between the second and third decades of life, usually in men. 16,23,25 The most frequent location is in the cortical region of the diaphysis of long bones (especially the femur, tibia, and humerus), mainly in the lower limbs. The foot is only rarely involved. 27 In a review of a series of 860 cases of OO, Jackson found an incidence of less than 4% in the foot and of 1.7% in the metatarsals. 12 The typical clinical presentation is severe pain, in spite of the small size of the tumor. This pain is predominantly nocturnal and typically remits with anti-inflammatory drugs; 16 there is usually an increase in local temperature. 14 If the lesion is superficial there may also be slight local swelling, which may raise the suspicion of an infection. 9,24 The typical radiographic image when the tumor affects the cortical region shows a hypodense hypervascular focal area, or nidus, usually less than 1 cm in diameter, surrounded by a thickening of the cortical region of the reactive bone.Atypical location and clinical symptoms may hinder diagnosis. Shereff et al reported that this tumor is often located in the cancellous bone, or in the subperiosteal region in the small bones of the foot. 23 In these cases x-ray will not produce the standard image; in many cases the cortical reinforcement limiting the nidus is missing. 24,26 Moreover, when the OO is intra-articular, the symptoms may include arthritis as the tumor may cause inflammation of the synovium, thus adding the range of inflammatory joint diseases to the differential diagnosis and complicating clinical diagnosis even further. 7,24,25,27,29 Case Report A 26-year-old woman consulted for pain in the first metatarsophalangeal joint of the right foot over 7 months, with no previous history of trauma. The patient presented with swelling and slightly increased local temperature and painful limitation of joint mobility. The pain was worse at night, but remitted partially with oral anti-inflammatory drugs. Local palpation exacerbated the pain. There were no neurovascular disorders in the limb, and laboratory parameters were within normal limits. Plain x-ray ( Figure 1) showed a lytic lesion of about 4 mm in diameter on the dorsal side of the first metatarsal head. Bone scintigraphy with technetium-99 ( Figure 2) revealed a nonspecific focal increase in isotope uptake, located in the dorsal area of the first metatarsal head, which may have corresponded to an arthropathic process or even to a stress fracture. This picture was confirmed on CT (Figure 3), which detected an osteolytic lesion less than 1 cm in the first metatarsal head, with a sclerotic central area surrounded by a faint sclerotic rim, suggesting an osteoid osteoma. The lesion extended to the articular cartilage at th...

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intra-Articular Osteoid Osteoma of the First Metatarsal

et al. 2013

View full text Add to dashboard Cite

show abstract

“…However, if symptomatic, surgical excision is the gold standard of treatment, with reported success in 88% -100% of cases [20]. Surgical removal of the nidus, either open or percutaneous with fluoroscopic guidance, are all approved treatments [4] [8] [12]. Arthroscopic resection is limited to the intra-articular form and shows good outcomes [15].…”

Section: Discussionmentioning

confidence: 99%

“…Half of the cases concern either the tibia or the femur. In the foot, it frequently occurs in the talus, the metatarsal localization is uncommon; and not exceeding 1.7% [4] [5], and only a few cases have been reported [6] [7] [8] [9].…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma of the Second Metatarsal: An Exceptional Localization and Unusual Clinical Features

Mohammed¹,

Soufiane²,

Walid³

et al. 2023

OJIM

View full text Add to dashboard Cite

Osteoid osteoma of the foot can be difficult to diagnose, the clinical presentation may be mimicking other local pathologies leading to a considerable delay in diagnosis. We report an exceptional localization of osteoid osteoma in the second metatarsal in a 30-year-old patient, expressed for 3 years by metatarsalgia, with no clinical and radiological architecture defect of the foot. After discovering the nidus, the patient underwent surgical excision with an excellent outcome.

show abstract