Osteoid Osteoma of the Proximal Phalanx of the Great Toe in a 13-Year-Old Female Patient

J Am Acad Orthop Surg Glob Res Rev. 2023 Mar 6;7(3):e21.00223. doi: 10.5435/JAAOSGlobal-D-21-00223. eCollection 2023 Mar 1.

Abstract

Osteoid osteoma (OO) is a benign osteoblastic bone tumor typically involving the diaphysis or metaphysis in long tubular bones. OO in phalanges of the great toe has been rarely reported, and it is often challenging to differentiate with subacute osteomyelitis, bone abscess, or osteoblastoma. This case report describes an uncommon case of a 13-year-old female patient with subperiosteal OO in the proximal phalanx of the great toe. The atypical location of OO should be familiarized to include appropriate differential diagnosis and to ensure accurate diagnosis by radiologic evaluations. Surgical excision remains the benchmark for the treatment of OO with its advantages on direct visualization and histologic confirmation for the diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Neoplasms* / diagnostic imaging
  • Bone Neoplasms* / surgery
  • Diaphyses
  • Female
  • Finger Phalanges* / diagnostic imaging
  • Finger Phalanges* / surgery
  • Hallux* / diagnostic imaging
  • Hallux* / surgery
  • Humans
  • Osteoma, Osteoid* / diagnostic imaging
  • Osteoma, Osteoid* / surgery
  • Osteomyelitis*
  • Soft Tissue Neoplasms*