Foot & Ankle Surgery: Techniques, Reports & Cases (Jan 2022)

An uncommon bone tumor in an even more uncommon location: A case of cuboid osteoid osteoma

  • Daniel J. Youlden, MBBS (Hons), MS,
  • Tyler Mow, MBBS,
  • Michael Le, MBBS,
  • Maurice S. Guzman, MBBS, FRACS, FAOrthoA,
  • Michael Symes, BAppSc (Physio), MBBS, FRACS, MPH, FAOrthA

Journal volume & issue
Vol. 2, no. 2
p. 100199

Abstract

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Osteoid Osteoma's represent 2-3% of all primary bone tumors. They most commonly affect the femur and tibia. In the foot they are usually found in the talus. Rarely, Osteoid Osteoma's will manifest in the cuboid. Due to this uncommon location, they are often confused for other infectious, inflammatory of traumatic conditions. The typical presentation is an insidious onset of lateral column nocturnal foot pain relieved by non-steroidal anti-inflammatory medications. Early consideration of advanced imaging modalities will aid the clinician with identifying the characteristic ‘bulls-eye’ or ‘target’ sign. Highly effective novel percutaneous radiological ablation techniques have replaced traditional open surgical treatment. The timely diagnosis and treatment allow for early return to function for patients affected by this lesser-known condition.

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