• 1

    Spencer EE Jr, Beirman JS, Femino JE: Osteoid osteoma of the fifth metatarsal: a case report and literature review. .Foot Ankle Surg 8::71. ,2002. .

    • Search Google Scholar
    • Export Citation
  • 2

    Gitelis S, Schajowicz F: Osteoid osteoma and osteoblastoma. .Orthop Clin North Am 20::313. ,1989. .

  • 3

    Kaweblum M, Lehman WB, Bash J, et al: Osteoid osteoma under the age of five years. .Clin Orthop Relat Res 296::218. ,1993. .

  • 4

    Meissner PJ Jr, Mauro G: Osteoid osteoma: a literature review and case report. .J Foot Surg 20::25. ,1981. .

  • 5

    Shader AF, Schwartzenfield SA: Osteoid osteoma: report of a case. .J Foot Surg 28::438. ,1989. .

  • 6

    Wu KK: Osteoid osteoma of the foot. .J Foot Surg 30::190. ,1991. .

  • 7

    Barca F, Acciaro AL, Recchioni MD: Osteoid osteoma of the phalanx: enlargement of the toe: two case reports. .Foot Ankle Int 19::388. ,1998. .

  • 8

    Jaffe HL: Osteoid osteoma. .Arch Surg 31::709. ,1935. .

  • 9

    Mirra JM, Picci P: “Osteoid Osteoma,” in Bone Tumors: Clinical, Radiologic, and Pathologic Correlation, Vol 1, ed by JM Mirra, RH Gold, P Picci, p 226, Lea & Febiger, Philadelphia. ,1989. .

  • 10

    Jackson RP, Reckling FW, Mantz FA: Osteoid osteoma and osteoblastoma. .Clin Orthop 128::303. ,1977. .

  • 11

    Ambrosia JM, Kernek CB: Osteoid osteoma of the foot: presentation following trauma. .Orthopedics 8::684. ,1985. .

  • 12

    Davison WR: Osteoid osteoma: report of atypical cases. .Clin Orthop 7::113. ,1956. .

  • 13

    Lindbom A, Lindvall N, Soderberg G: Angiography in osteoid osteoma. .Acta Radiol 54::327. ,1960. .

  • 14

    Makley JT, Dunn MJ: Prostaglandin synthesis by osteoid osteoma. .Lancet 2::42. ,1982. .

  • 15

    O’Connell MB, Nanthakumar MD, Nielsen GP, et al: Osteoid osteoma: the uniquely innervated bone tumor. .Mod Pathol 11::175. ,1998. .

  • 16

    Martin DE: “Callus Distraction,” in McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery, Vol 2, ed by AS Banks, MS Downey, DE Martin, et al, p 2097, Lippincott Williams & Wilkins, Philadelphia. ,2001. .

  • 17

    Connolly JF: Selection, evaluation, and indications for electrical stimulation of ununited fractures. .Clin Orthop 161::39. ,1981. .

  • 18

    Stein GA, Anzel SH: A review of delayed unions of open tibia fractures treated with external fixation and pulsing electromagnetic fields. .Orthopedics 7::428. ,1984. .

    • PubMed
    • Search Google Scholar
    • Export Citation

Osteoid Osteoma

An Uncommon Cause of Foot Pain

Scot Freschi College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, IA.

Search for other papers by Scot Freschi in
Current site
Google Scholar
Nicholas B. Dodson College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, IA.

Search for other papers by Nicholas B. Dodson in
Current site
Google Scholar

An osteoid osteoma located in the forefoot can be difficult to diagnose, and the diagnosis is frequently delayed. We present a clinical case of a patient with pain, erythema, and swelling of the left forefoot with no history of trauma. Although rarely seen in the metatarsal, osteoid osteoma should be included in the differential diagnosis of foot pain. Findings from radiographs, magnetic resonance images, and a detailed clinical history led to the diagnosis of osteoid osteoma of the left second metatarsal. The lesion was surgically excised using curettage. This process significantly weakened the lateral cortex of the metatarsal shaft. To correct this surgically induced stress riser, an external fixator was applied to provide stability, allow for callus distraction, and allow the patient to walk as early as possible. We review osteoid osteoma, including the classic clinical presentation and treatment associated with this benign bone tumor. (J Am Podiatr Med Assoc 97(5): 405–409, 2007)

Corresponding author: Scot Freschi, DPM, College of Podiatric Medicine and Surgery, Des Moines University, 3200 Grand Ave, Des Moines, IA 50266.