PDF(Pubmed)
Abstract：
Osteoid osteoma of the cuneiform bone is an exceedingly rare and easily missed cause of foot pain. The uncharacteristic and nonspecific radiographs of such intra-articular osteoid osteoma further increase difficulty in making the diagnosis. To date, there has been no description of intra-articular osteoid osteoma of the intermediate cuneiform bone causing articular degeneration in any published literatures. We present a case of intra-articular osteoid osteoma of the intermediate cuneiform bone causing articular degeneration, who underwent curettage, allograft bone graft, and navicular-cuneiform arthrodesis. The patient presented with radiographic bone union, full motor function recovery and pain-free at the 22-month follow-up. This report adds to the existing literature. Intra-articular osteoid osteoma of the intermediate cuneiform bone causing articular degeneration is an exceedingly rare and easily missed cause of foot pain. It proves a complicated and challenging task to identify intra-articular osteoid osteoma. Clinicians should be particularly careful not to exclude the possibility of arthritis and, thus, vigilant when choosing the surgical option.
摘要：
楔形骨的骨样骨瘤是一种极为罕见且容易引起脚痛的原因。这种关节内骨样骨瘤的非特征性和非特异性X光片进一步增加了诊断的难度。迄今为止,在任何已发表的文献中，都没有关于中间楔形骨的关节内骨样骨瘤引起关节变性的描述。我们介绍了一例中间楔形骨的关节内骨样骨瘤，引起关节变性。接受刮宫的人，同种异体骨移植,和舟骨楔形关节固定术。患者表现为影像学骨愈合，在22个月的随访中，完全的运动功能恢复和无痛。此报告增加了现有文献。中间楔形骨的关节内骨样骨瘤导致关节变性是一种极为罕见且容易错过的脚痛原因。事实证明，识别关节内骨样骨瘤是一项复杂而具有挑战性的任务。临床医生应该特别小心，不要排除关节炎的可能性，因此，在选择手术时保持警惕。
