Synovial Sarcoma of the Foot as an Atypical Cause of Persistent Metatarsalgia: A Report of 3 Cases

JBJS Case Connect. 2022 Aug 17;12(3). doi: 10.2106/JBJS.CC.22.00282. eCollection 2022 Jul 1.

Abstract

Case: Three cases of atypical metatarsalgia are presented, all diagnosed with foot synovial sarcomas (SSs) at different stages of evolution, after a year of medical consultations. One case was treated with marginal excision without requiring bone excision; the second patient required amputation of the first ray; and the third patient, with advanced disease, required amputation through Chopart's joint.

Conclusion: Metatarsalgia is a recurrent reason for consultation in orthopaedics. Even so, patients with persistent symptoms should be studied further in depth. Computed tomography or magnetic resonance imaging can detect tumor pathology, such as SS, of insidious development.

Publication types

  • Case Reports

MeSH terms

  • Amputation, Surgical / methods
  • Foot / pathology
  • Humans
  • Metatarsalgia* / diagnostic imaging
  • Metatarsalgia* / etiology
  • Metatarsalgia* / surgery
  • Sarcoma, Synovial* / complications
  • Sarcoma, Synovial* / diagnostic imaging
  • Sarcoma, Synovial* / surgery
  • Tarsal Joints*