2017
DOI: 10.1093/jscr/rjw226
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Recurrence of an intra-articular osteoid osteoma of the great toe: a case report and review of the literature

Abstract: Osteoid osteoma (OO) is a benign tumor that it is not generally seen in the foot and even less frequently in the phalanx (2–4%). The diagnosis when its location is intra-articular is a challenge and often delayed because the symptoms mimic a real arthritis. We report a clinical case involving a 16-year-old male patient who complained of persistent pain of the interphalangeal joint (IPJ) of the left hallux. A juxta-articular OO of the condyle of the proximal phalanx was identified. The patient underwent surgery… Show more

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Cited by 6 publications
(4 citation statements)
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“…Table 1 summarizes the available literature on OOs occurring in the great toe in a chronological order, where its primary treatment modality was surgical excision in all cases. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 In addition to surgical excision of the OO, radiofrequency ablation (RFA) has shown clinically equivalent treatment results with advantages of a minimally invasive procedure, negligible postprocedural complications, low recurrence rates, and a shorter recovery time. 23 Intraoperative navigation-assisted or CT-assisted RFA is also an excellent noninvasive modality to accurately localize and ablate medullary OOs.…”
Section: Discussionmentioning
confidence: 99%
“…Table 1 summarizes the available literature on OOs occurring in the great toe in a chronological order, where its primary treatment modality was surgical excision in all cases. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 In addition to surgical excision of the OO, radiofrequency ablation (RFA) has shown clinically equivalent treatment results with advantages of a minimally invasive procedure, negligible postprocedural complications, low recurrence rates, and a shorter recovery time. 23 Intraoperative navigation-assisted or CT-assisted RFA is also an excellent noninvasive modality to accurately localize and ablate medullary OOs.…”
Section: Discussionmentioning
confidence: 99%
“…The swelling tends to have all the characteristic features of inflammation. This results in delayed diagnosis, and at times, the imaging is also ambiguous resulting in further delay of the diagnosis [ 5 - 7 ]. Even in our patient, the radiograph and MRI were not suggestive of osteoid osteoma; the patient’s nocturnal characteristic pain with relief after NSAIDs prompted us to go for further imaging.…”
Section: Discussionmentioning
confidence: 99%
“…Hence, we chose traditional open surgery. Taking into account that overly cautious handling of the nidus might increase the hazards of recurrence or residual pain, 34 , 35 we performed adequate curettage and debridement, followed by allograft bone graft and navicular‐cuneiform arthrodesis. the patient showed satisfactory results without recurrence.…”
Section: Discussionmentioning
confidence: 99%