Osteoid osteoma of the talus.

Ital J Orthop Traumatol

Divisione di Ortopedia e Traumatologia, Ospedale Civile, Pescara.

Published: June 1990

AI Article Synopsis

  • The talus is an uncommon location for osteoid osteoma, and tumors found near joints exhibit unique clinical and pathological characteristics.
  • Three cases of subperiosteal osteoid osteoma in patients aged 15, 17, and 25 highlight the importance of recognizing the disease for accurate diagnosis, as it can be tricky due to subtle changes in symptoms and imaging.
  • Diagnostic methods like bone scans, radiographic exams, and CT scans play critical roles in identifying the tumor, while sequential angioscintigraphy helps suggest the lesion's nature, ultimately confirmed by macroscopic and histological analysis.

Article Abstract

The talus is a rare site of predilection for osteoid osteoma. This tumor, in its juxta-articular position, presents particular clinical and pathological features. Three cases of subperiosteal osteoid osteoma are discussed in patients aged 15, 17 and 25 years. In diagnosis, a basic role is played by awareness of the disease, which must lead to the use of bone scan, indicating the site of the pathological lesion, which may be difficult to determine because of subtle radiographic modifications, and particularly because of long-term changes in the symptoms. Radiographic examination (standard x-rays, enlarged x-rays), often characterises and reinforces what is diagnostically suspected. CAT clearly shows the features and type of osteoid osteoma in relation to the adjacent structures. Sequential angioscintigraphy, based on the captation curve of the radionuclide, may suggest the nature of the lesion, subsequently confirmed by the macroscopic picture and histological examination.

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