Primary synovial osteochondromatosis of the first metatarsophalangeal joint, literature review of a rare presentation and a case report.

Synovial osteochondromatosis is a rare condition, found mainly in larger joints, where as it is particularly rarer in small joints especially the metatarsophalangeal joint. We report the case of a 45-year-old man with primary synovial osteochondromatosis in the first metatarsophalangeal joint. Following surgical intervention, the diagnosis was confirmed with histological examination. The patient had successful management and is completely symptom free on 12-month review. A summary of the case and review of the current literature with the incidence of this condition and risks involved are discussed. Copyright 2008 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.