Retained toothpick causing pseudotumor of the first metatarsal: A case report and literature review

Abstract We present a case of a retained toothpick causing pseudotumor of the first metatarsal in a young female who was referred as a case of painless swelling in the dorsolateral aspect of the right foot to exclude a malignant tumor. Plain radiograph did show an osteolytic lesion in the head and n...

Full description

Saved in:
Bibliographic Details
Published in:Foot and ankle surgery 2008, Vol.14 (1), p.32-35
Main Author: Hassan, Freih Odeh Abu, F.R.C.S. (Eng.), F.R.C.S. (Tr. & Orth.)
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Female
Foot
Foreign Bodies - complications
Foreign Bodies - diagnosis
Foreign body
Humans
Medical sciences
Metatarsal Bones
Orthopedic surgery
Orthopedics
Osteolysis
Osteolysis - etiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Toothpick
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract We present a case of a retained toothpick causing pseudotumor of the first metatarsal in a young female who was referred as a case of painless swelling in the dorsolateral aspect of the right foot to exclude a malignant tumor. Plain radiograph did show an osteolytic lesion in the head and neck of the first metatarsal. Magnetic resonance imaging revealed a toothpick inside the first metatarsal head. Surgical exploration revealed a 4 cm toothpick embedded inside the bone surrounded by granulation tissue. We could find seven cases of retained foreign bodies causing osteolytic lesions in the metatarsals of the foot with one case of osteomylitis in an adult due to a retained small piece of toothpick. Retained foreign body should be considered in the differential diagnosis of an osteolytic lesion of the foot.
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2007.07.002