2013
DOI: 10.1155/2013/234048
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Osteoid Osteoma of the Great Toe Mimicking Osteomyelitis: A Case Report and Review of the Literature

Abstract: 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.

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Cited by 15 publications
(12 citation statements)
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“…In cases where it does, distortions of nail plate morphology may be the result [14]. Osteoid osteoma of the great toe is a very rare observation [14,15]. …”
Section: Discussionmentioning
confidence: 99%
“…In cases where it does, distortions of nail plate morphology may be the result [14]. Osteoid osteoma of the great toe is a very rare observation [14,15]. …”
Section: Discussionmentioning
confidence: 99%
“…6 Commonly, the OO presents with night pain in the affected region, which is relieved by antiinfl ammatory drugs. 2,7 In the region of the hand, the OO could have atypical symptoms, as in our case. Unusual clinical signs and locations, especially at the hand, can easily result in misdiagnosis or delay in the diagnosis.…”
Section: Case Reportmentioning
confidence: 47%
“…In some cases the OO could simulate osteomyelitis, Brodie's abscess, tuberculosis, tenosynovitis and benign or malignant tumour. 7,8 In our case the radiographic fi ndings were suspicious for osteomyelitis or Ewing sarcoma. After performance of MRI with typical characteristics of ОО, revealing the nidus and surrounding bone sclerosis, the diagnosis of ОО of the middle fi nger was established.…”
Section: Case Reportmentioning
confidence: 51%
“…Pain in the great toe of the foot is attributed to a wide variety of diseases, with the commonest being trauma, malalignment and degenerative disease, as well as less common causes such as infections of the bone (osteomyelitis or cellulitis) and tumours, both benign and malignant. Differential diagnosis should take into account conditions like osteomyelitis due to pseudomonas (mostly in diabetics), epidermoid inclusion cysts, chondrosarcoma, osteoblastoma, subungual squamous cell carcinoma, intracortical osteosarcoma and osteoid osteoma [ 21 ]. Diagnosis is usually delayed (mean 16 moths after onset of symptoms with a range of 8-36 months), and this was the case in our patient, where the diagnosis was made at 18 months after the onset of symptoms.…”
Section: Discussionmentioning
confidence: 99%