Osteoid osteoma: the cause of a foot pain

Yıl 2018, Cilt: 10 Sayı: 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

Öz

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. 

Anahtar Kelimeler

Osteoid osteoma, foot pain

Osteoİd osteoma: bir ayak ağrısı nedeni

Öz

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.

Anahtar Kelimeler

Osteoid osteoma, ayak ağrısı

Kaynakça

• 1. Lee EH, Shafi M, Hui JHP. Osteoid osteoma: a current review. J Pediatr Orthop. 2006;26(5):695-700.
• 2. Healey, John H. Ghelman B. Osteoid Osteoma and Osteoblastoma Current Concepts and Recent Advances. Clin Orthop Relat Res. 1986;(204):76-85.
• 3. Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: A systematic review. Pain. 2011;152(12):2870-2880.
• 4. Shukla S, Clarke AW, Saifuddin A. Imaging features of foot osteoid osteoma. Skeletal Radiol. 2010;39(7):683-689.
• 5. Andrea LA, Vincenzo S. lntra-articular Osteoid Osteoma of the Lower Extremity : Diagnostic Problems. 2002;39(0):1-4.
• 6. Jackson, Roger P.; Reckling, Frederick W.; Mantz FA. Osteoid Osteoma and Osteoblastoma: Similar Histologic Lesions with Different Natural Histories. Clin Orthop Relat Res. 1977;128:303-313.
• 7. Aydogan U, Dellenbaugh SG. Osteoid Osteoma of the Tarsal Cuboid Bone. Foot Ankle Spec. 2014;7(2):152-154.
• 8. Chakraverty J, Al-Mokhtar N, James SL. Osteoid Osteoma of the Cuboid Managed by Percutaneous Radiofrequency Ablation. J Foot Ankle Surg. 2014;53(2):212-215.
• 9. Polzer H, Polzer S, Schieker M, Mutschler W, Regauer M. Das Osteoidosteom des Talus. Unfallchirurg. 2014;117(7):666-669.
• 10. Le Corroller T, Champsaur P. Osteoid osteoma of the midfoot: percutaneous radiofrequency treatment in 2 cases. J Foot Ankle Surg. 2011;50(6):754-757.
• 11. Daniilidis K, Martinelli N, Gosheger G, et al. Percutaneous CT-guided radio-frequency ablation of osteoid osteoma of the foot and ankle. Arch Orthop Trauma Surg. 2012;132(12):1707-1710.
• 12. Hattori H, Takase K, Morohashi A. Osteoid osteoma of the great toe. Orthopedics. 2011;34(8):e432-e435.
• 13. Aratake M, Shigeyuki M, Atsushi H, Takeuchi R, Saito T. Case of Juxta-articular Osteoid Osteoma of Calcaneus Mimicking Arthritis. J Foot Ankle Surg. 2012;51(2):237-240.
• 14. Gürkan V, Orhun H, Bülbül M, Kayahan S. Küboid kemik osteoid osteoması: Nadir bir ayak ağrısı nedeni. Acta Orthop Traum Turc. 2011;45(1):66-69.
• 15. Ghanem I. The management of osteoid osteoma: updates and controversies. Curr Opin Pediatr. 2006;18(1):36-41.
• 16. Davies M, Cassar-Pullicino VN, Davies AM, McCall IW, Tyrrell PNM. The diagnostic accuracy of MR imaging in osteoid osteoma. Skeletal Radiol. 2002;31(10):559-569.
• 17. Shereff, M. J.; Cullivan, W; Johnson K. Osteoid-osteoma of the Foot. J Bone Jt Surg. 1983;65-A:638-642.
• 18. Aydınoki H. Çetin; Çakmak, Mehmet; Yeşiller, Ecmel; Kocaoğlu M. Talus’ta Osteoid Osteoma (Bir Olgu Nedeniyle Literatürün Gözden Geçirilmesi). Acta Orthop Traum Turc 24, 111-113 (1990).
• 19. Migues A, Velan O, Solari G, Pace G, Slullitel G, Araujo ES. Osteoid osteoma of the calcaneus: Percutaneous radiofrequency ablation. J Foot Ankle Surg. 2005;44(6):469-472.
• 20. Hoffmann RT, Jakobs TF, Kubisch CH, et al. Radiofrequency ablation in the treatment of osteoid osteoma-5-year experience. Eur J Radiol. 2010;73(2):374-379. 21. Jowett CRJ, Singh D. Osteoid osteoma of the great toe: A case report. J Foot Ankle Surg. 2010;16(2):e12-e15.
• 22. Campanacci M, Ruggieri P, Gasbarrini a, Ferraro a, Campanacci L. Osteoid osteoma. Direct visual identification and intralesional excision of the nidus with minimal removal of bone. J Bone Joint Surg Br. 1999;81(5):814-820.
• 23. Ward, William G.; Eckardt, Jeffrey J.; Shayestehfar, Sohaiel; Mirra, Joseph; Grogan, Thomas; Oppenheim W. Osteoid Osteoma Diagnosis and Management With Low Morbidity. Clin Orthop Relat Res. 1993;291:229-235.