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Case Reports in Orthopedics
Volume 2012 (2012), Article ID 439836, 2 pages
http://dx.doi.org/10.1155/2012/439836
Case Report

Foreign Body Granuloma: A Diagnosis Not to Forget

1Rheumatology Department, Mohammed VI Medical Center, Marrakesh, Morocco
2Department of Orthopedics and Orthopedic Surgery B, Mohammed VI Medical Center, Marrakesh, Morocco

Received 29 November 2011; Accepted 2 February 2012

Academic Editor: A. H. Kivioja

Copyright © 2012 I. El Bouchti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 granuloma. The differential diagnosis for bony reaction to an unrecognised organic foreign body includes osteoid osteoma, chronic and acute osteomyelitis, tuberculosis granuloma, bone cyst, aneurysmal bone cyst, cortical fibrous defect, and neoplasm. We report the case of a boy suffering from a thorn inducing a lytic lesion of the fifth metatarsal that demonstrates the diagnosis difficulties of foreign body granuloma.