DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20210642

Osteochondroma of talus and coalition of talocrural and intercuneiform joints - surgical management

Swapnil M. Keny, Kaustubh A. Sawant, Vijay Singh, Ayush Sharma

Abstract


Osteochondroma of talus is rare benign tumour. Tarsal coalition is a condition in which two or more tarsal bones are joined by non-osseous bridges of cartilage or fibrocartilage or by osseous bridges. Association of Talus osteochondroma with coalition of tarsal bones is extremely rare and has not been reported in the literature before. We are herewith reporting a case of osteochondroma of the talus with coalition of intercuneiform and talocrural joint in an 11-year-old male patient. Patient noticed swelling around ankle and pain on strenuous activities. CT scan confirmed the diagnosis. We did complete extraperiosteal excision of the osteochondroma and resection of tarsal coalition. Histopathological examination confirmed the diagnosis of osteochondroma. At one-year follow-up there is no recurrence of the tumour and patient had full range of motion. Complete extraperiosteal excision of the osteochondroma along with resection of tarsal coalition is important for complete eradication and preventing a recurrence.


Keywords


Talus osteochondroma, Tarsal coalition, Foot and ankle, Tumour

Full Text:

PDF

References


Chioros PG, Frankel SL, Sidlow CJ. Unusual osteochondroma of the foot and ankle. J Foot Surg 1987;26:407–11.

Erler K, Oguz E, Komurcu M, Atesalp S, Basbozkurt M. Ankle swelling in a 6-year-old boy with unusual presentation: report of a rare case. J Foot Ankle Surg. 2003;42:235–39.

Farrett WD Jr, Stone PA, McGarry JJ. Rare presentation of hereditary multiple exostoses. A case report. J Am Podiatr Med Assoc. 1998;88:135–9.

Fuselier CO, Binning T, Kushner D. Solitary osteochondroma of the foot: an in-depth study with case reports. J Foot Surg 1984;23:3–24.

Case DT, Burnett SE. Identification of tarsal coalition and frequency estimates from skeletal samples. Int J Osteoarchaeol. 2012;22(6):667–84.

Hofmann M, Böni T, Rühl F. Osseous talocalcaneal coalition in a medieval skeleton. Int J Osteoarchaeol. 2010;20(6):623–9.

Hanrahan PS, Edelman J, Brash S. Spontaneous hemarthrosis associated with an exostosis of the talus. J Rheumatol. 1987;14:171.

Jackson KR, Gurbani B, Otsuka NY. Osteochondromas of the talus presenting as intraarticular loose bodies: report of two cases. Foot Ankle Int. 2004;25:630–1.

Joshi D, Kumar N, Singh D, Lai Y, Singh AK. Osteochondroma of the talus in a male adolescent. J Am Podiatr Med Assoc. 2005;95:494–6.

Kawai A, Mitani S, Okuda K, Aoki K, Inoue H. Ankle tumor in a 5-year-old boy. Clin Orthop Relat Res. 2003;406:308–16.

Keser S, Bayar A. Osteochondroma of the talar neck: a rare cause of callosity the foot dorsum. J Am Podiatr Med Assoc. 2005;95:295–7.

Kim S, Chung W, Kim S, Lee W. Osteochondroma of the Talus - A Report of Two Cases. J Korean Orthop Assoc. 2008;43(1):135-8.

Kothari A, Masquijo J. Surgical treatment of tarsal coalitions in children and adolescents. EFORT Open Reviews 2020;5(2).

Zhou B, Tang K, Hardy M. Talocalcaneal coalition combined with flatfoot in children: diagnosis and treatmen: a review. J Orthop Surg Res. 2014;9:129.