Unusual Osteoblastoma of the First Metatarsal Bone Treated by Total Resection and Fibular Autograft

Hammad, Yazan; Alisi, Mohammed S; Elifranji, Zuhdi O.; Mousa, Khaled; Abu-Hassan, Freih; Almustafa, Sahar

doi:10.2106/jbjs.cc.20.00713

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…A literature review of reported cases of osteoblastoma arising in bones of hands and feet 7–27 is summarized in Table 1. A total of 21 relevant English articles were collected.…”

Section: Discussionmentioning

confidence: 99%

Osteoblastoma of the thumb with a novel PRSS44::ALK fusion and literature review of osteoblastoma of hands and feet bones

Brandea,

Afkhami,

Klein

et al. 2024

Genes Chromosomes & Cancer

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Osteoblastomas (OBs) are benign neoplasms constituting approximately 1% of primary bone tumors with a predilection for the spine and sacrum. We describe an OB of the proximal phalanx of the left thumb in a 38‐year‐old female. MRI of left hand demonstrated a 29‐mm mildly expansile enhancing lesion involving the entire proximal phalanx of the first digit. Histology displayed a bone‐forming tumor consisting of trabeculae of remodeled woven bone framed by plump osteoblasts in a vascularized background. Next‐generation sequencing analysis identified a PRSS44::ALK fusion gene.

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“…A literature review of reported cases of osteoblastoma arising in bones of hands and feet 7–27 is summarized in Table 1. A total of 21 relevant English articles were collected.…”

Section: Discussionmentioning

confidence: 99%

Osteoblastoma of the thumb with a novel PRSS44::ALK fusion and literature review of osteoblastoma of hands and feet bones

Brandea,

Afkhami,

Klein

et al. 2024

Genes Chromosomes & Cancer

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“…The need to address the defect following resection in appendicular skeleton, especially in the foot and ankle weight-bearing region can be addressed with the help of fibular autograft. Hammad et al report a case of first metatarsal osteoblastoma which was treated with non-vascularized fibular autograft [ 10 ]. However, in that case, the tumor had involved the metatarsal head causing osteoarthritic changes in the metacarpophalangeal joint.…”

Section: Discussionmentioning

confidence: 99%

A Foot in the Right Direction: Metatarsal Osteoblastoma-A Rare Case and its Management

Siddharth,

Balasubramanian,

Umasankar

2024

jocr

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Introduction: Osteoblastoma is a rare, benign, bone-forming tumor accounting for <1% of all primary bone tumors. It has a predilection for the posterior elements of the spine and metaphysis and diaphysis of long bones. The occurrence of this tumor in the metatarsal region is rare. We report such the case of a metatarsal osteoblastoma which was treated with wide excision and non-vascularized fibular autograft: a reliable method of reconstruction. Case Report: A 25-year-old woman presented with progressive pain and swelling over the right foot for 4 years. On examination, there was a gross swelling over the fourth metatarsal region over the dorsum of the foot. Radiographs revealed a osteoblastic lesion of the fourth metatarsal bone expanding into the intermetatarsal region. Magnetic resonance imaging (MRI) revealed an expansile altered signal intensity lesion which was hypointense on both T1 and T2 – weighted images with no soft-tissue component. With a working diagnosis of locally aggressive bone-forming tumor, she underwent wide excision of the tumor with reconstruction using a non-vascularized fibular autograft. Intraoperative samples sent for histopathological examination confirmed the diagnosis of osteoblastoma. After 2 years of follow-up, the patient is able to weight bear with no pain and imaging shows graft incorporation with no signs of recurrence. Conclusion: Osteoblastoma of the metatarsal region can present a diagnostic conundrum to the treating clinician due to its rare nature. Proper evaluation and reconstruction at an early stage with wide excision and reconstruction with non-vascularized fibular autograft are a reliable treatment option. Keywords: Osteoblastoma, metatarsal, fibular autograft.

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“…With respect to the fixation technique for fractures, although intramedullary screw fixation results in a high union rate, delayed healing and complications can occur [ 23 ]. Therefore, in recent years, many surgeons have preferred to use titanium plates and autografts to stabilize old fractures in the metatarsals [ 24 ] and to repair anatomical defects in the area as a consequence of trauma or tumor excision [ 25 , 26 ]. Titanium locking plate implants provide long-term stability and resistance to stress and strain in the forefoot.…”

Section: Discussionmentioning

confidence: 99%

Surgical Reconstruction of Nonunion after Iatrogenic Scarf Osteotomy

Ortiz-Romero

Cicchinelli²,

Fernández-Garzón³

et al. 2021

IJERPH

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We present the case of a young patient, 32 years old, with nonunion in the diaphysis of the first metatarsal after scarf osteotomy for correction of hallux valgus. After removal of the failed osteosynthesis material and preparation of the bone fragments, a calcaneal bone autograft, previously extracted from the patient, was placed in the nonunion area. The new physiological position of the first metatarsal in the three planes was checked intraoperatively, and autograft and fragment fixation was performed using a combination of a low-profile plate with six screws and two interfragmentary screws. The advantage of using an autogenous graft is that it provides corticocancellous bone and great osteogenic capacity with little antigenic capacity. This makes it an excellent option in many situations in foot and ankle surgery. Regarding the fixation method, we used the two most commonly used techniques for osteosynthesis of bone grafts in cases of bone nonunion, combining plates with locking screws and two interfragmentary screws. This provides greater stability of the bone fragments in the three planes and makes it possible to bring forward when the patient starts postsurgical loading.

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Unusual Osteoblastoma of the First Metatarsal Bone Treated by Total Resection and Fibular Autograft

Cited by 3 publications

References 12 publications

Osteoblastoma of the thumb with a novel PRSS44::ALK fusion and literature review of osteoblastoma of hands and feet bones

Osteoblastoma of the thumb with a novel PRSS44::ALK fusion and literature review of osteoblastoma of hands and feet bones

A Foot in the Right Direction: Metatarsal Osteoblastoma-A Rare Case and its Management

Surgical Reconstruction of Nonunion after Iatrogenic Scarf Osteotomy

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