Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 3 Issue 4

Unusual Presentation of Osteochondroma as Bunionette: Case Report with Review of Literature

Mohammad Eid1*, Mohammad Alsafi2, Sager Hanna3 and Aliaa Khaja3

1Foot/Ankle Specialist, Al Razi Orthopedic Hospital, Sabah Medical Area, Kuwait City, Kuwait
2Orthopedic Surgeon (Senior), Al Razi Orthopedic Hospital, Sabah Medical Area, Kuwait City, Kuwait
3Orthopedic Surgeon (Resident), Al Razi Orthopedic Hospital, Sabah Medical Area, Kuwait City, Kuwait

*Corresponding Author: Mohammad Eid, Foot/Ankle Specialist, Al Razi Orthopedic Hospital, Sabah Medical Area, Kuwait City, Kuwait.

Received: March 16, 2020; Published: March 31, 2020

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Abstract

Introduction: Osteochondromas are bone lesions presenting in benign form. The lesions originate from aberrant cartilage. Bunionette on the other hand, presents in a lateral prominence of the fifth metatarsal head, inducing a callus. The varus, infraductus, or supraductus form is determined by toe malpositioning. Osteochondromas are one of the commonest bone lesions, but their occurrence in the ankle and foot is quite rare.

Case Presentation: This article reports the case of a twelve-year-old boy of Arabic ethnic background, who presented with lateral foot pain diagnosed as a bunionette. The patient underwent surgical excision with the bone presenting a suspicious consistency. The excised tissue was sent for histopathology and it came back as an osteochondroma.

Conclusion: To the best of our knowledge, there are no reports of osteochondromas presenting as a bunionette. It is an extremely rare condition. We, therefore, present this case as an instance of chronic complication of osteochondral lesions. This rare case can help shed light on such peculiar presentations to Orthopedic Surgeons, Foot/Ankle Specialists and Orthopedic Oncologists who would have such cases referred to them.

Keywords: Presentation; Osteochondroma; Bunionette

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References

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  2. MJ Coughlin. “Treatment of bunionette deformity with longitudinal diaphyseal osteotomy with distal soft tissue repair”. Foot Ankle 11 (1991): 195-203.
  3. HL Du Vries. “Surgery of the foot”. (2nd edition), CV Mosby, St Louis (1965): 456-462.
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  9. Murphey MD., et al. “Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation”. Radiographics 20 (2000): 1407-1434.
  10. Wuisman PIJ., et al. “Secondary chondrosarcoma in osteochondromas: Medullary extension in 15 of 45 cases”. Acta Orthopaedica Scandinavica 68 (1997): 396-400.
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Citation

Citation: Mohammad Eid., et al “Unusual Presentation of Osteochondroma as Bunionette: Case Report with Review of Literature". Acta Scientific Orthopaedics 3.4 (2020): 63-66.




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