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Dureja K, Suvarna PP, Sahu AK. Extensive Osteochondroma of the Talus Presenting As Syndesmotic Joint Extension and Posterior Inferior Tibiofibular Ligament Rupture: A Reportof a Rare Case and a Review of the Literature. Cureus 2024; 16:e55339. [PMID: 38559502 PMCID: PMC10981921 DOI: 10.7759/cureus.55339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/25/2024] [Indexed: 04/04/2024] Open
Abstract
This case report describes a rare occurrence of talar osteochondroma extending into syndesmosis, causing disruption of the interosseous membrane and the posterior inferior tibiofibular ligament (PITFL). This type of presentation for a talar osteochondroma is the first of its kind reported in the literature based on current knowledge. A detailed preoperative radiological assessment was crucial in planning the surgical approach and preparing for syndesmotic stabilization during the excision. The patient underwent successful and complete excision of the osteochondroma, and the syndesmosis was stabilized using a cortical screw along with anatomical repair of the PITFL. Apart from delayed wound healing, the patient exhibited good functional outcomes in terms of gait and ankle range of motion at the six-month follow-up. This case serves as a valuable reference for similar presentations in the future, emphasizing the importance of thorough preoperative assessment and appropriate treatment planning.
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Affiliation(s)
- Kamal Dureja
- Department of Foot and Ankle Orthopedics, Max Smart Super Speciality Hospital, Saket, New Delhi, IND
| | - Pratheeksh P Suvarna
- Department of Foot and Ankle Orthopedics, Max Smart Super Speciality Hospital, Saket, New Delhi, IND
| | - Amit K Sahu
- Department of Radiology, Max Smart Super Speciality Hospital, Saket, New Delhi, IND
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2
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Galanis V, Georgiadi K, Balomenos V, Tsoucalas G, Thomaidis V, Fiska A. Osteochondroma of the talus in a 19-year-old female: A case report and review of the literature. Foot (Edinb) 2020; 42:101635. [PMID: 31739169 DOI: 10.1016/j.foot.2019.08.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 08/05/2019] [Accepted: 08/18/2019] [Indexed: 02/04/2023]
Abstract
CASE Osteochondroma is a benign bone tumor usually affecting areas around the knee, pelvis, neck and tibia. This disease rarely affects the talus. A case of a 19-years-old female with anteromedial ankle impingement with 8 years follow-up is reported. Surgery removal was the treatment of choice and histopathology examination revealed a benign solitary osteochondroma. CONCLUSION Osteochondromas in the anterior and anteromedial side of talus are rarer and can cause multiple clinical manifestations including important ones such as limitation of ankle movement and pain. Different locations of solitary osteochondromas can influence both patients' symptoms and clinical examination findings.
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Affiliation(s)
- Vasilios Galanis
- Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece
| | - Kyriaki Georgiadi
- Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.
| | - Vassilios Balomenos
- Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece
| | - Gregory Tsoucalas
- Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece
| | - Vasilios Thomaidis
- Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece
| | - Aliki Fiska
- Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece
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3
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DeHeer PA, Thompson N. Distal Fibular Osteochondroma Resulting in Tarsal Tunnel Syndrome: Case Report and Literature Review. J Am Podiatr Med Assoc 2019; 109:259-263. [PMID: 31268790 DOI: 10.7547/18-013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Osteochondromas are benign osseous tumors encountered most routinely by physicians responsible for diagnosing musculoskeletal disorders. Often, these osseous lesions are identified following symptoms related to their impingement on adjacent soft tissue or bone. METHODS This article presents a unique case of an asymptomatic osteochondroma of the distal fibula in a 29-year-old Caucasian woman that manifested clinically as an impingement on the tibial nerve. RESULTS After resection of the osteochondroma, the patient's tarsal tunnel syndrome symptoms resolved. CONCLUSIONS This case report demonstrates a never-before-described osteochondroma of the distal fibula traversing posterior to the ankle joint and impinging on the tibial nerve. After resection, the patient's symptoms resolved.
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Abstract
Tumors are a rare cause of ankle-region pain. Osteochondroma is one of the most common benign bone tumors, but is rarely localized to the foot bones. Here, we describe a case of a solitary osteochondroma of the sinus tarsi presenting in an 8-year-old boy with a history of recurrent ankle sprains and limited range-of-motion of the subtalar joint. Treatment was surgical excision of the tumor, and the patient is now symptom free. Clinical presentation, treatment, pathoanatomy, localization, and complication of this benign form of tumor are discussed and all previously reported cases are reviewed to provide a more comprehensive picture of osteochondroma of talus.
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Abstract
Osteochondroma is the most commonly-found benign bone tumour. It is a benign, cartilaginous-capped bony projection. They are usually present on the bony surfaces of the long bones in adolescents and young adults. The risk of malignant transformation is <1% with solitary osteochondroma. We present a rare case of an osteochondroma in a patient with advanced age and an unusual location.
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Affiliation(s)
- M N Baig
- Trauma & Orthopaedics, Galway University Hospital
| | | | - Usman Baig
- Medicine, Quaid-E-Azam Medical College, Bahawalpur
| | - S R Kearns
- Trauma & Orthopaedics, Galway University Hospital
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6
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Kulkarni U, Kulkarni A. Response to the comment to: "Kulkarni U and Kulkarni A: Posterior talus osteochondroma a rare location, treated by posterior ankle arthroscopy. Foot Ankle Surg. 2015 Sep;21(3):e51-4″. Foot Ankle Surg 2016; 22:288. [PMID: 27810031 DOI: 10.1016/j.fas.2016.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- Umesh Kulkarni
- Consultant Orthopaedic Surgeon, Sanjivan Hospital, Off Gangapur Road, Nashik 422013, Maharashtra, India.
| | - Ameya Kulkarni
- Dept. of Orthopaedics, VP Medical College Adgaon, Nashik, Maharashtra, India
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7
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Ercin E, Bilgili MG, Gamsizkan M, Avsar S. Talar Osteochondroma Fracture Presenting as Posterior Ankle Impingement. J Am Podiatr Med Assoc 2016; 106:225-8. [PMID: 27269978 DOI: 10.7547/15-001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Osteochondromas are the most common benign bone tumors. They are usually asymptomatic and found incidentally. When symptomatic, the symptoms are usually due to its location and size. Fracture of an osteochondroma presenting as posterior ankle impingement is a rare condition. We describe a 22-year-old man with solitary exostosis who presented with a posterior ankle mass and posterior ankle impingement with 2 years of follow-up. Surgical intervention was the treatment of choice in this patient, and histologic examination revealed a benign osteochondroma. Osteochondromas found in the posterior aspect of the talus can be complicated by fracture due to persistent motion of the ankle. Talar osteochondroma should be included in the differential diagnosis of posterior ankle impingement causes. Posterior talar osteochondromas, especially when a stalk is present, should be treated surgically before it is more complicated by a fracture and posterior ankle impingement.
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Affiliation(s)
- Ersin Ercin
- Department of Orthopaedics and Traumatology, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Mustafa Gokhan Bilgili
- Department of Orthopaedics and Traumatology, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Gamsizkan
- Department of Pathology, Gulhane Military Medical Academy, Ankara, Turkey
| | - Serdar Avsar
- Department of Orthopaedics and Traumatology, Izmir Military Hospital, Izmir, Turkey
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Jeon JY, Chung HW, Kwon JW, Hong SH, Lee GY, Ryu KN. Imaging findings of various talus bone tumors-clinico-radiologic features of talus bone tumors. Clin Imaging 2016; 40:666-77. [PMID: 27317211 DOI: 10.1016/j.clinimag.2016.02.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Revised: 02/18/2016] [Accepted: 02/22/2016] [Indexed: 12/12/2022]
Abstract
Osseous neoplasms of the foot are uncommon, accounting for only 3.3% of all primary bone tumors. Bone tumors of the talus are even rarer, and there are not many publications that comprehensively evaluate the imaging findings of talus tumors. The purpose of this article is to review the benign and malignant bone tumors affecting this uncommon site and to describe the clinical and radiologic features of each tumor.
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Affiliation(s)
- Ji Young Jeon
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center
| | - Hye Won Chung
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center.
| | - Jong Won Kwon
- Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, 135-710, Korea.
| | - Sung Hwan Hong
- Department of Radiology and Institute of Radiation Medicine, Seoul National University College of Medicine, Seoul, Korea.
| | - Guen Young Lee
- Departments of Radiology, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundanggu, Seongnam-si, Gyeonggi-do, 436-707, Korea.
| | - Kyung Nam Ryu
- Department of Radiology, Kyung Hee University Medical Center, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 130-702, Korea.
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Kulkarni U, Kulkarni A. Posterior talus osteochondroma a rare location, treated by posterior ankle arthroscopy. Foot Ankle Surg 2015; 21:e51-4. [PMID: 26235872 DOI: 10.1016/j.fas.2015.05.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Accepted: 05/24/2015] [Indexed: 02/04/2023]
Abstract
The common cause of posterior ankle impingement syndrome is impingement of the Os trigonum or the posterior talar process. We report a case of a 46-year-old lady having osteochondroma of the posterior talar process, a rare occurrence at this site. This patient was treated with posterior ankle arthroscopic excision through the 2-portal posterior ankle arthroscopy technique in the prone position. 6 months post-operatively, her ankle pain disappeared and ankle range of movement improved significantly and there is no recurrence of the tumour.
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Affiliation(s)
- Umesh Kulkarni
- Sanjivan Hospital, Off Gangapur Road, Nashik 422013, Maharashtra, India.
| | - Ameya Kulkarni
- Sanjivan Hospital, Off Gangapur Road, Nashik 422013, Maharashtra, India.
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Wang C, Ma X, Wang X, Zhang Y, Zhang C, Huang J, Chen L, Xu J, Geng X. Osteochondroma of the Talar Neck: A Case Report and Literature Review. J Foot Ankle Surg 2014; 55:338-44. [PMID: 25458440 DOI: 10.1053/j.jfas.2014.10.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2014] [Indexed: 02/03/2023]
Abstract
Osteochondroma occurs most frequently in the long bones such as the proximal humerus, tibia, and distal femur. It is rare for it to originate in the talar neck. In the present case report, we describe a case of osteochondroma arising from the talar neck. Furthermore, a review of the published studies of talar osteochondroma was performed to obtain a better understanding of the symptoms, diagnosis, and treatment of this unusual entity.
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Affiliation(s)
- Chen Wang
- Surgeon, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China
| | - Xin Ma
- Professor, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China
| | - Xu Wang
- Assistant Professor, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China.
| | - Yijun Zhang
- Surgeon, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China
| | - Chao Zhang
- Surgeon, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China
| | - Jiazhang Huang
- Surgeon, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China
| | - Li Chen
- Surgeon, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China
| | - Jian Xu
- Surgeon, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China
| | - Xiang Geng
- Surgeon, Orthopedic Department, Huashan Hospital, Fudan University, Shanghai, China
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11
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The imaging of cartilaginous bone tumours. I. Benign lesions. Skeletal Radiol 2012; 41:1195-212. [PMID: 22707094 DOI: 10.1007/s00256-012-1427-0] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2012] [Revised: 03/18/2012] [Accepted: 04/23/2012] [Indexed: 02/02/2023]
Abstract
Benign cartilage tumours of bone are the most common benign primary bone tumours and include osteochondroma, (en)chondroma, periosteal chondroma, chondroblastoma and chondromyxoid fibroma. These neoplasms often demonstrate typical imaging features, which in conjunction with lesion location and clinical history, often allow an accurate diagnosis. The aim of this article is to review the clinical and imaging features of benign cartilage neoplasms of bone, as well as the complications of these lesions.
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12
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Abstract
Dysplasia epiphysealis hemimelica is a rare developmental disorder with unknown etiology affecting epiphysis in childhood. The lesion is an osteochondroma arising from the epiphysis and increasing in size until skeletal maturity is reached. Surgical treatment is mandatory when symptoms such as pain, joint impingement or deformation are present, and yields good results when the mass is juxtaarticular or extraarticular. In those cases where articular symptoms are not present and only mass evolution is observed, surgical treatment is not recommended before skeletal maturity has been reached. A case of DEH located in the talus and successfully treated with surgery is presented.
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Affiliation(s)
- Roberto Azzoni
- Orthopaedic Department, State University of Milan, Milan, Italy,
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13
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Kim SH, Chung WY, Kim SH, Lee WS. Osteochondroma of the Talus - A Report of Two Cases -. ACTA ACUST UNITED AC 2008. [DOI: 10.4055/jkoa.2008.43.1.135] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Sung-Hun Kim
- Department of Orthopaedic Surgery, Konyang University College of Medicine, Daejeon, Korea
| | - Whan-Yong Chung
- Department of Orthopaedic Surgery, Konyang University College of Medicine, Daejeon, Korea
| | - Seung-Hwan Kim
- Department of Orthopaedic Surgery, Konyang University College of Medicine, Daejeon, Korea
| | - Woo-Suk Lee
- Department of Orthopaedic Surgery, Konyang University College of Medicine, Daejeon, Korea
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