Department of Orthopedics, JPNATC, AIIMS, New Delhi, India.
Department of Orthopedics, Institute of Medical Sciences (IMS), BHU, Varanasi, India.
Foot (Edinb). 2021 Jun;47:101783. doi: 10.1016/j.foot.2021.101783. Epub 2021 Jan 27.
A 23-year-old male presented with long-standing swelling in the middle of the third toe right side with difficulty in wearing footwear. Clinical examination revealed it as bony hard fixed swelling moving with interphalangeal joint movements. Clinical diagnosis of benign bony swelling was made and radiological investigation demonstrated features suggestive of osteochondroma. En-mass excision of the lesion was done, with histo-pathological confirmation of osteochondroma. Although the subungual presentation of osteochondroma or exostosis in toes is quite common, the astounding non-subungual presentation should also be kept in mind as a plausible differential diagnosis of benign bony swelling in toes.
一位 23 岁男性因右侧第三脚趾中间长期肿胀、穿鞋困难而就诊。临床检查发现其为骨性硬性固定肿胀，可随指间关节活动。临床诊断为良性骨肿，影像学检查显示骨软骨瘤特征。对病变进行了整块切除，并通过组织病理学证实为骨软骨瘤。虽然脚趾的甲下骨软骨瘤或外生骨疣较为常见，但也应考虑到非甲下表现，作为脚趾良性骨肿的一个合理鉴别诊断。
