Alhuzaimi Fahad, Alabdulkarim Nouf, Alanezi Mishari, Alshayhan Fahad, Alrajhi Abdulrahman M
Department of Orthopedic Surgery, College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia.
College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia.
J Surg Case Rep. 2025 Aug 12;2025(8):rjaf636. doi: 10.1093/jscr/rjaf636. eCollection 2025 Aug.
Osteochondroma involving the metatarsals is extremely rare, often presenting diagnostic and clinical challenges due to its atypical anatomical location and potential biomechanical complications. The patient, a 10-year-old boy, presented with a 2-year history of dorsal foot pain exacerbated by walking, which was unresponsive to immobilization and analgesia. Radiographic findings revealed a bony mass extending from the medial cuneiform to the first metatarsal, causing a widening between the first and second metatarsals. Given the significant effect on daily activities and persistent pain, surgical excision was performed. Intraoperatively, the lesion was consistent with osteochondroma, and complete resection was performed. His recovery was uneventful, with symptom resolution and improved functional outcomes at routine follow-up. Osteochondromas can cause pain, deformity, and restricted movement when located in weight-bearing areas. In intermetatarsal osteochondroma, surgical excision is warranted for symptomatic relief and functional improvement.
累及跖骨的骨软骨瘤极为罕见，因其解剖位置不典型以及潜在的生物力学并发症，常常带来诊断和临床方面的挑战。该患者为一名10岁男孩，有2年的足背疼痛病史，行走时加重，固定和止痛治疗均无效。影像学检查发现一个骨块从内侧楔骨延伸至第一跖骨，导致第一和第二跖骨之间增宽。鉴于对日常活动有显著影响且疼痛持续，遂行手术切除。术中，病变符合骨软骨瘤，并进行了完整切除。他恢复顺利，在常规随访时症状消失，功能结果得到改善。当骨软骨瘤位于负重区域时，可引起疼痛、畸形和活动受限。对于跖骨间骨软骨瘤，为缓解症状和改善功能，有必要进行手术切除。
