title: Recurrence of an intra-articular osteoid osteoma of the great toe: a case report and review of the literature.
abstract: Osteoid osteoma (OO) is a benign tumor that it is not generally seen in the foot and even less frequently in the phalanx (2-4%). The diagnosis when its location is intra-articular is a challenge and often delayed because the symptoms mimic a real arthritis. We report a clinical case involving a 16-year-old male patient who complained of persistent pain of the interphalangeal joint (IPJ) of the left hallux. A juxta-articular OO of the condyle of the proximal phalanx was identified. The patient underwent surgery that included tumor removal preserving the articular cartilage. After a non-complete nidus resection, there was a recurrence. The patient underwent surgery with a removal en-block of the distal part of the proximal phalanx and fusion of the IPJ with interposition of a tricortical autograft. After a follow-up of 30 months, the X-ray showed total arthrodesis of the joint without signs of recurrence or pain.
authors.affiliation: Orthopedics Department, Hospital Universitari Mútua de Terrassa, Barcelona, Spain jtorrent@mutuaterrassa.es.
authors.forename: Josep
authors.initials: J
authors.lastname: Torrent
authors.affiliation: Orthopedics Department, Mútua Universal, Barcelona, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Bailez
authors.affiliation: Orthopedics Department, Clínica Tres Torres, Barcelona, Spain.
authors.forename: Jordi
authors.initials: J
authors.lastname: Asuncion