Osteoid osteoma: the cause of a foot pain

Year 2018, Volume: 10 Issue: 2, 179 - 182, 01.06.2018

Mahmut Kalem Ercan Şahin Hakan Kocaoğlu Kerem Başarır Yusuf Yıldız Yener Sağlık

https://doi.org/10.21601/ortadogutipdergisi.305255

Abstract

Aim: Osteoid osteoma
is a benign bone tumor that can be located throughout the entire skeleton
except the skull. Osteoid osteoma can be a cause of painful foot even though it
is rarely seen at foot. With this paper we intend to elucidate our clinical
expertise at such cases at foot while highlighting osteoid osteoma as a
distinct cause of foot pain.

Material and Method: Data were extracted retrospectively from files of ten patients with
osteoid osteoma at foot.

Results:  There were
6 (60%) lesions at metatarsal bones, 2 (20%) at talus, 1 (%10) at calcaneus and
1 (%10) at distal phalange. Mean time to diagnosis was 30 months at this
cohort, while mean follow-up was 2.9 years.

Conclusion: Osteoid osteoma
should be considered as a distinct cause of foot pain when plain x-rays were no
sufficient for diagnosis and advanced imaging modalities should be considered. 

Keywords

Osteoid osteoma, foot pain

Osteoİd osteoma: bir ayak ağrısı nedeni

Abstract

Amaç: Osteoid osteoma benign bir kemik tümörü olup kafatası kemikleri hariç
vücuttaki tüm kemiklerde izlenebilir. Ayakta yerleşimi nadir olmakla beraber
ayak ağrısı ayırıcı tanısında yer almaktadır. Bu çalışmanın amacı ayak
yerleşimli osteoid osteoma vakalarında klinik tecrübemizi ve lezyonun ayırıcı
tanıdaki yerini ortaya koymaktır.

Gereç ve Yöntem: Toplamda ayakta osteoid osteoma ile takip edilen 10 hasta retrospektif
olarak lokalizasyon, tedavi seçenekleri ve sonuçları açısından değerlendirildi.

Bulgular: Lezyonların yerleşimlerine bakıldığında 6 hastada metatarsta (%60), 2 hastada
talusta (%20), 1 hastada kalkaneusta (%10) ve 1 hastada distal falanksta (%10) olduğu
izlendi. Hastalarda tanı alma sürelerinin 
ortalama 30 ay iken tedavi sonrası ortalama takip süresinin 2,9 yıl olduğu
görüldü.

Sonuç: Osteoid osteoma ayakta yerleşimi sık olmasa
da direk grafilerle tanı konulamayan ayak ağrısı olgularının ayırıcı tanısında
osteoid osteoma da akla getirilmeli ve şüpheli olgularda ileri görüntüleme
yöntemlerine başvurulmalıdır.

Keywords

Osteoid osteoma, ayak ağrısı

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