Acute forefoot and midfoot injuries.

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Abstract

[Indexed for MEDLINE] 3. J Foot Ankle Surg. 2015 Sep-Oct;54(5):836-9. doi: 10.1053/j.jfas.2015.01.002. Epub 2015 May 27. Enchondroma of the Foot. Chun KA(1), Stephanie S(2), Choi JY(3), Nam JH(4), Suh JS(5). Author information: (1)Professor, Department of Radiology, Catholic Kwandong University International St. Mary's Hospital, Incheon, Korea. (2)Medical Student, Department of Surgery, Howard University College of Medicine, Washington, DC. (3)Clinical Fellow, Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. (4)Resident, Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. (5)Professor, Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. Electronic address: sjs0506@paik.ac.kr. The present study is a review of 20 patients with enchondroma of the foot treated from January 2005 to March 2012. All patients were examined clinically, followed by an evaluation of their enchondroma of the foot radiographically and an assessment of the outcome of their surgical intervention. The patients' sex and age, enchondroma location, findings from imaging studies such as plain radiography, computed tomography, and magnetic resonance imaging, clinical findings, operative findings, and treatment outcomes were recorded. The average postoperative follow-up period was 24 months. Eighty percent of the tumors were located in the proximal phalanx and 14 (70%) patients presented with pathologic fracture. The plain radiographs and computed tomography findings revealed 13 (65%) cases of internal calcification and 11 (55%) with endosteal scalloping. A periosteal reaction was seen only in 4 (20%) cases. Magnetic resonance imaging of 11 (55%) patients showed low T1-weighted and high T2-weighted signal intensity in all cases. Internal septa and nodules with low T2-weighted signal intensity were observed in 9 (82%) out of 11 cases, and adjacent soft tissue edema was noted in 9 (82%). All patients underwent curettage of the tumor and bone grafting as their surgical treatment. No recurrence or postoperative complications were observed during the 24-month follow-up period. Enchondroma of the foot most frequently involves the proximal phalangeal bone and is often associated with pathologic fracture. The unique clinical signs and characteristic radiographic images are easily recognized, making this a relatively easy diagnosis. With appropriate treatment, a good surgical outcome can be expected. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved. DOI: 10.1053/j.jfas.2015.01.002