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Hallux valgus deformity of foot with tumoral calcinosis: An unusual presentation
Affiliation:1. Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Hospital Rummelsberg, Schwarzenbruck, Germany;2. Department of Trauma, Hand and Reconstructive Surgery, University of Muenster, Muenster, Germany;3. Department for Orthopaedics, Duke University, Durham, NC, USA;4. Department for Orthopaedics, Loyola University Chicago, IL, USA;2. Dialysis Unit, ECHO Nantes Dialysis Association, France;1. Department of Biomedical Engineering, Kyung Hee Univeristy, Yongin, Republic of Korea;2. Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, United States;3. Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, United States;1. Gaziosmanpasa University School of Medicine, Department of Orthopaedics and Traumatology, Tokat, Turkey;2. Sakarya University School of Medicine, Department of Orthopaedics and Traumatology, Sakarya, Turkey;3. Gaziosmanpasa University School of Medicine, Department of Pathology, Tokat, Turkey;4. Erbaa State Hospital, Clinic of Orthopaedics and Traumatology, Erbaa, Tokat, Turkey;5. Istanbul University, Istanbul Medical School, Department of Orthopaedics and Traumatology, Istanbul, Turkey
Abstract:Tumoral calcinosis is an uncommon disorder and characterized by development of calcified masses within the soft tissues near the large joints such as the hip, elbow, and shoulder and rarely occurs in the foot. We report a case of tumoral calcinosis at the first meta-tarso-phalangeal (MTP) joint of foot with hallux valgus deformity associated with bunion which required resection. Surgical excision of the calcific mass alone, without surgery to the minimal hallux valgus, resulted in resolution of symptoms, without recurrence of the lesion. Subsequently, speculative etiology, differential diagnostic considerations as well as the therapeutic interventions for tumoral calcinosis are discussed taking into consideration the current literature. We conclude that tumoral calcinosis should be considered in the differential diagnosis of a painful mass that develops in the small joints of the foot.
Keywords:Tumoral calcinosis  Foot  Hallux valgus  Bunion  Surgery
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