The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Osteochondroma of the talus: A 14-case report with literature review

Author : TONG Kai, WANG Xiang, ZHONG Zi-yi, et al.     
Working unit : 1 Department of Traumatic Orthopaedics, 2 Department of Spinal Surgery, Nanfang Hospital, Nanfang Medical University, Guangzhou 510515, China
Page : 410-415.
Key words : talus, osteochondroma, bone tumor, clinical feature

  Abstract:

Objective

To analyze the pathogenesis feature and treatment of talar osteochondroma.

Methods

From 2000 to 2016, 14 patients with talar osteochondroma surgically treated in our institution were retrospectively analyzed. Of them, 10 males and 4 females were confirmed the definitive diagnosis by combination of clinical, imaging and pathological aspects. Moreover, a review of the published studies of talar osteochondroma was conducted to analyze the clinical and imaging features.

Results

The 14 patients aged from 6 to 47 years with a mean age of 20.86 years at onset of the disease. Solitary osteochondroma occurred in 11 patents, while multiple osteochondroma in 3 patients, associated with the recurrent lesion in 3 cases of them. However, no malignant transformation happened in any of them. In term of lesion location, 9 patients were involved in the left and 6 in the right foot, including the medial talus affected in 9 patients, the lateral talus in 2, the front talus in 3, and  the rear talus in 6 patients, associated with ankle loose body in 2 patients. The main clinical symptoms included pain, local swelling, motion limitation and walking difficulty.

Conclusion

The incidence of osteochondroma of the talus is rather lower, and most of the lesions are benign ones with a male predominance. The lesions more commonly involve in the medial side than the lateral side and the rear than the front of the talus. Clinical presentation is related to the location of tumor. Conservative treatment is proper for asymptomatic patients, while surgical resection is an effective treatment for symptomatic patients.


summary:
Osteochondroma of the talus: A 14-case report with literature review   
TONG Kai, WANG Xiang, ZHONG Zi-yi, et al.
Orthop J Chin,2018,26(5):   410-415.