BÜLENT ÖZKURT, Kerem BAŞARIR, Yusuf YILDIZ, Yener SAĞLIK

Talus yerleşimli kondroblastom: Atipik bir lokalizasyon

Kondroblastom kıkırdak doku kökenli bir tümördür. Talusta yerleşimi çok nadir görülmektedir. Bu yazıda, talusta yerleşimli kondroblastom tespit edilen bir hasta sunuldu. Hastanın 12 aydır devam eden, hareketle artan ağrısı mevcuttu. Radyolojik incelemede talusun lateralinde sklerotik sınırlı, kortikal harabiyet yapan lezyon saptandı. Lezyon ekstraartiküler olarak kürete edilerek, olşan kavite otogreftle dolduruldu. Yetmiş aylık takip ve kontrolü sonrasında hastada hiçbir klinik yakınma ya da lokal nüks veya metastaza ait klinik ve radyolojik bulgu saptanmadı.

Chondroblastoma of the talus: An atypical localisation

Chondroblastoma is a very rare bone tumor of cartilaginous origin. Talar involvement is very rare with a few number of reports. We present an unusual case of chondroblastoma localized in talus. The patient was admitted with ankle pain worsens with motion. Radiological evaluation showed a lesion with sclerotic margins, that destructed the lateral cortex of the talus. The lesion was treated with extraarticular curretage and autogenous bone grafting. At the end of the 70 months follow-up, the patient had no complaints and clinical or radiological findings about local recurrence or metastases.

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1) Caterini R, Manili M, Spinelli M ve ark. Epiphyseal chondroblastoma of bone. Long term effects on skeletal growth and articular function in 15 cases treated surgically. Arch Orthop Trauma Surg 1992; 111: 327-332.
2) Wu KK. Chondroblastoma of the foot. J Foot Surg. 1989; 28: 72-77.
3) Davila JA, Amrami KK, Sundaram M ve ark. Chondroblastoma of the hands and feet. Skeletal Radiol 2004; 33: 582-587.
4) Hull MT, Gonzales-Crussi F, DeRosa GP, Graul RS. Aggressive chondroblastoma: Report of a case with multiple bone and soft tissue involvement. Clin Orthop Rel Resc 1977; 126: 261-265.
5) Turcotte RE, Kurt AM, Sim FH, ve ark. Chondroblastoma. Hum Pathol 1993; 24: 944-949.
6) O'mara Jr JW, Keeling J, Montgomery FA, Aaron AD. Primary lesions of the patella. Orthopedics 2000; 23: 376-377.
7) Anderson AF, Ramsey JR. Chondroblastoma of the talus treated with osteochondral autograft transfer from the lateral femoral condyle. Foot Ankle Int 2003; 24: 283-287.
8) Huvos AG, Marcove RC. Chondroblastoma of bone: A critical review. Clin Orthop 1973; 95: 300-312.
9) Ramappa AJ, Lee FY, Tang P, ve ark. Chondroblastoma of bone. A clinicopathological study of 69 cases. J Bone Joint Surg 2000; 82-A: 1140-1145.
10) Dahlin DC, Ivins JC. Benign Chondroblastoma: A study of 125 cases. Cancer 1972; 30: 401-413.
11) Fritz GR, Irwin BI. Shoulder pain in a 15-year-old boy. Clin Orthop Rel Resc 1997; 341: 283-288.
12) Sterling G, Wilson A, Fracs FA. Chondroblastoma of the talus: A case report. J Foot Ankle Surg 2002; 41: 178-182.
13) Kyriakos M, Land VS, Pennig HL, Parker SG. Metastatic chondroblastoma. Cancer 1985; 55: 1770-89.
14) Fink BR, Temple HT, Chiricosta FM, ve ark. Chondroblastoma of the foot. Foot Ankle Int 1997; 18: 236-242.
15) Hana BG, Donthineri R, Dalinka MK, Lackman RD. Painful ankle in a19-year-old man. Clin Orthop Rel Resch 2003; 415: 329-337.
16) Ochsner PE, von Hochstetter AR, Hilfiker B. Chondroblastoma of talus: Naturel develoment over 9.5 years. Case report. Arch Orthop Trauma Surg 1988; 107: 122-125.
17) Dorfman HD, Czerniak B. Benign cartilage tumors. In: Dorfman HD (Editor). Bone Tumors 1st ed, Mosby St Louis, 1998: 253-352.
18) Bloem JL, Mulder JD. Chondroblastoma: A clinical and radiological study of 104 cases. Skeletal Radiol 1985; 14: 1-9.