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The Journal of Bone and Joint Surgery 83:580 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Case Report

Thorn-Induced Pseudotumor of the Metatarsal

A Case Report

H R Dürr, MD, A Stäbler, MD, P E Müller, MD and H J Refior, MD

Investigation performed at Ludwig-Maximilians-University Munich, Munich, Germany
H.R. Dürr, MD A. Stäbler, MD P.E. Müller, MD H.J. Refior, MD Department of Orthopedics and Orthopedic Surgery (H.R.D., P.E.M., and H.J.R.) and Institute of Radiology (A.S.), Ludwig-Maximilians-University Munich, Klinikum Grosshadern, D-81366 Munich, Marchioninistrasse 15, Germany. E-mail address for H.R. Dürr: hrduerr@ort.med.uni-muenchen.de
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Penetrating wounds of the foot are not uncommon. Many are caused by thorns or by fragments of wood that are retained in the foot, creating a foreign-body granuloma1. Symptomatic lesions may develop years after the injury, and the patient may not remember a specific injury event2. While chronic foreign-body reactions in soft tissues are quite common, penetrating injuries to the bone are rare3,4. Here we report the case of a thorn-induced osteolytic pseudotumor of the fifth metatarsal and review the findings concerning thirty-one other thorn or wood-induced bone lesions reported in the literature.


   Case Report
 
A fifty-six-year-old woman presented with progressive pain and swelling in the dorsolateral region of the right foot. She had had the symptoms for eight months. She could recall no history of trauma. Physical examination showed a healthy patient with a tender mass on the dorsolateral aspect of the right foot. The overlying skin was . . . [Full Text of this Article]


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Letters to the Editor:

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Three Additional Cases of Thorn Induced Masses in an Extremity
Dr smsn Ganji
JBJS Online, 21 May 2001 [Full text]