Whitaker Jeffrey M, Craig Grace C, Winship Sadie
Staff Podiatric Surgeon and Associate Residency Director, Cleveland VA Medical Center, Cleveland, OH.
Resident PGY 3, St. Vincent Charity Medical Center, Cleveland, OH.
J Foot Ankle Surg. 2017 Nov-Dec;56(6):1269-1275. doi: 10.1053/j.jfas.2017.04.034.
Osteochondromas are common benign exostoses with <1% of pedal occurrences. Several cases of osteochondromas have been previously reported in the foot and ankle but none from the cuboid. In the present study, we report a case of osteochondroma originating from the cuboid in a 29-year-old male patient. The patient presented with an aching and shooting pain to his left foot that had progressed during the course of 3 years. Originally diagnosed as a fibroma, the patient had undergone cortisone injections that did not help with his symptoms. Radiographic and magnetic resonance imaging revealed an osteochondroma to the patient's left cuboid. Surgical removal of the tumor confirmed the diagnosis. The patient had an uneventful postoperative recovery and had no recurrence after 1.5 years of follow-up. In conclusion, although osteochondromas are rare in the foot and ankle and most are benign, they can result in many symptoms and can impair patients' quality of life, such as occurred in our patient. Recommendations for surgical excision should be determined on a case-by-case basis.
骨软骨瘤是常见的良性外生骨疣,累及足部的情况不到1%。此前已有数例足部和踝部骨软骨瘤的报道,但均非来自骰骨。在本研究中,我们报告了一例29岁男性患者骰骨来源的骨软骨瘤。该患者左脚出现酸痛和刺痛,症状在3年病程中逐渐加重。最初被诊断为纤维瘤,患者接受了皮质醇注射,但症状并未缓解。影像学和磁共振成像显示患者左侧骰骨有骨软骨瘤。手术切除肿瘤确诊了病情。患者术后恢复顺利,随访1.5年后无复发。总之,尽管骨软骨瘤在足踝部少见且大多为良性,但它们可导致多种症状并损害患者生活质量,如我们的患者那样。手术切除的建议应根据具体病例确定。