Mahmut Kalem, Ercan Şahin, Hakan Kocaoğlu, Kerem Başarır, Yusuf Yıldız, Yener Sağlık

Osteoİd osteoma: bir ayak ağrısı nedeni

Amaç: Osteoid osteoma benign bir kemik tümörü olup kafatası kemikleri hariç vücuttaki tüm kemiklerde izlenebilir. Ayakta yerleşimi nadir olmakla beraber ayak ağrısı ayırıcı tanısında yer almaktadır. Bu çalışmanın amacı ayak yerleşimli osteoid osteoma vakalarında klinik tecrübemizi ve lezyonun ayırıcı tanıdaki yerini ortaya koymaktır. Gereç ve Yöntem: Toplamda ayakta osteoid osteoma ile takip edilen 10 hasta retrospektif olarak lokalizasyon, tedavi seçenekleri ve sonuçları açısından değerlendirildi. Bulgular: Lezyonların yerleşimlerine bakıldığında 6 hastada metatarsta (%60), 2 hastada talusta (%20), 1 hastada kalkaneusta (%10) ve 1 hastada distal falanksta (%10) olduğu izlendi. Hastalarda tanı alma sürelerinin ortalama 30 ay iken tedavi sonrası ortalama takip süresinin 2,9 yıl olduğu görüldü. Sonuç: Osteoid osteoma ayakta yerleşimi sık olmasa da direk grafilerle tanı konulamayan ayak ağrısı olgularının ayırıcı tanısında osteoid osteoma da akla getirilmeli ve şüpheli olgularda ileri görüntüleme yöntemlerine başvurulmalıdır.

Anahtar Kelimeler:

Osteoid osteoma, ayak ağrısı

Osteoid osteoma: the cause of a foot pain

Aim: Osteoid osteoma is a benign bone tumor that can be located throughout the entire skeleton except the skull. Osteoid osteoma can be a cause of painful foot even though it is rarely seen at foot. With this paper we intend to elucidate our clinical expertise at such cases at foot while highlighting osteoid osteoma as a distinct cause of foot pain.Material and Method: Data were extracted retrospectively from files of ten patients with osteoid osteoma at foot.Results: There were 6 (60%) lesions at metatarsal bones, 2 (20%) at talus, 1 (%10) at calcaneus and 1 (%10) at distal phalange. Mean time to diagnosis was 30 months at this cohort, while mean follow-up was 2.9 years. Conclusion: Osteoid osteoma should be considered as a distinct cause of foot pain when plain x-rays were no sufficient for diagnosis and advanced imaging modalities should be considered.

Keywords:

Osteoid osteoma, foot pain,

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