An unusual cause of forefoot pain

Alper Deveci1, 4 , Onder M. Delialioglu2, Bulent Daglar2, Sahap C. Tunç1, Barıs Birinci1, Kenan Bayrakci2, Esra Ersoy3 and Ugur Gunel2

(1)  Department of Orthopaedic Surgery, Lokman Hekim Sincan Hospital, Ankara, Turkey
(2)  Department of Orthopaedic Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
(3)  Department of Pathology, Lokman Hekim Sincan Hospital, Ankara, Turkey
(4)  6. Etap Atakent Sitesi G2 Blok no:5/39, Eryaman, Ankara, Turkey
History

A 19-year-old woman presented with progressive and severe localized pain at the metatarsophalangeal joint of her left toe and had no history of trauma (Fig. 1). Following the removal of the mass, a histopathological examination was done (Fig. 2). What was the diagnosis?

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Fig. 1  a Sesamoid radiograph of the patient's left foot. b Three-phase isotope bone scan showing a hot-spot at the fibular sesamoid of the left foot. c Coronal and sagittal CT reconstruction

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Fig. 2 Hematoxylin-eosin stain, ×40

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