Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Medial Ankle Impingement Syndrome due to Talar Osteochondroma and Gout Attack: A Case Report

거골 내측 결절에 발생한 골연골종과 통풍 발작에 의한 발목 내측 충돌 증후군: 증례 보고

  • Min Gyu Kyung (Department of Orthopedic Surgery, Seoul National University Hospital) ;
  • Dongjun Jeon (Department of Orthopedic Surgery, Seoul National University Hospital) ;
  • Dong Yeon Lee (Department of Orthopedic Surgery, Seoul National University College of Medicine)
  • 경민규 (서울대학교병원 정형외과) ;
  • 전동준 (서울대학교병원 정형외과) ;
  • 이동연 (서울대학교 의과대학 정형외과학교실)
  • Received : 2023.12.26
  • Accepted : 2024.02.13
  • Published : 2024.03.15
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Abstract

Osteochondromas are benign bone tumors typically found in the metaphyseal region of long bones. These tumors are often asymptomatic and detected incidentally. However, their occurrence in atypical sites such as the talus can pose significant diagnostic and treatment challenges. This report describes a rare case of osteochondroma of the medial tubercle of the talus, which is an unprecedented location based on a review of relevant literature. A 28-year-old male presented with worsening medial ankle pain and limping. Imaging revealed a lesion consistent with osteochondroma contributing to medial ankle impingement syndrome. Uniquely, this case also featured a coinciding gout attack in the ankle joint. Surgical removal of the lesion resulted in significant symptom relief and functional improvement. This case underscores the need to consider rare diagnoses, such as talar osteochondroma, when presented with persistent medial ankle pain and highlights the potential presence of concurrent conditions, such as gout.

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References

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