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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...

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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.)
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description 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.
doi_str_mv 10.1016/j.fas.2007.07.002
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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
title Retained toothpick causing pseudotumor of the first metatarsal: A case report and literature review
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