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Related Experiment Videos

A small and painful puzzle

R H Adler1, N Gerber, M Weber

  • 1Medical Division C.L. Lory-Haus, Inselspital, Berne, Switzerland.

Pain
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

A rare case of osteoid osteoma in the toe highlights the importance of patient history in diagnosing painful conditions. Clinical investigations are valuable but cannot replace detailed symptom analysis for accurate diagnosis.

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Area of Science:

  • Orthopedic Surgery
  • Oncology
  • Radiology

Background:

  • Osteoid osteoma is a benign bone tumor characterized by nocturnal pain relieved by non-steroidal anti-inflammatory drugs.
  • Unusual locations and late diagnosis can complicate the identification of osteoid osteoma.

Observation:

  • A 23-year-old student presented with persistent, nocturnal pain in the distal phalanx of his right hallux over two years.
  • Initial X-rays revealed a cystic lucency, but diagnosis was delayed despite consultations.
  • Pain management with non-steroidal anti-inflammatory drugs was effective, masking the underlying condition initially.

Findings:

  • Histological confirmation post-surgery identified the lesion as osteoid osteoma.
  • The rare location and delayed diagnosis underscore diagnostic challenges in specific osteoid osteoma cases.

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  • Surgical intervention resolved the patient's pain completely.

    • Implications:

    • Emphasizes the critical role of thorough patient history and symptom evaluation in diagnosing conditions like osteoid osteoma.
    • Highlights the limitations of imaging alone and the necessity of considering clinical presentation.
    • Suggests that early and accurate diagnosis of osteoid osteoma can prevent prolonged suffering and facilitate timely treatment.