Harna Bushu, Maini Lalit
Orthopaedics, Maulana Azad Medical College, New Delhi, India.
J Clin Orthop Trauma. 2020 Oct;11(Suppl 5):S899-S901. doi: 10.1016/j.jcot.2020.07.029. Epub 2020 Jul 29.
The osteochondroma of metatarsal is a rare clinical entity. It generally occurs in the first or second decade of life. The osteochondroma should be investigated to rule out any malignant changes before embarking any surgical intervention. We report an osteochondroma of 5th metatarsal in a 65 years old female as an unusual aetiology of foot pain. We propose the scalloping effect of the osteochondroma on adjacent metatarsal as one of the mechanisms of causing pain in the foot. After ruling out the malignant transformation with the help of MRI, excision of the tumour was done with a curvilinear incision on the dorsum of the foot. There was no recurrence in 1 year follow up. This case report depicts the occurrence of osteochondroma in geriatric patient as an unusual cause of foot pain. The scalloping effect on the adjacent bone and tissues can be the aetiology of the pain.
跖骨骨软骨瘤是一种罕见的临床病症。它通常发生在人生的第一个或第二个十年。在进行任何手术干预之前，应对骨软骨瘤进行检查以排除任何恶性变化。我们报告一例65岁女性的第五跖骨骨软骨瘤，作为足部疼痛的不寻常病因。我们提出骨软骨瘤对相邻跖骨的扇贝样效应是导致足部疼痛的机制之一。在借助磁共振成像排除恶性转化后，通过在足背做曲线切口切除肿瘤。1年随访中无复发。本病例报告描述了老年患者发生骨软骨瘤作为足部疼痛的不寻常原因。对相邻骨骼和组织的扇贝样效应可能是疼痛的病因。
