Marion Rapp, Martin Michael Kaiser, Osteoid Osteoma: A Painless Enlargement of the Great Toe, Surgery Journal, Volume 5,Issue 1, 2010, Pages 9-12, ISSN 1816-3211, sjour.2010.9.12, (https://makhillpublications.co/view-article.php?doi=sjour.2010.9.12) Abstract: Solitary bone lesions involving the lesser digits are a rare entity. Without pain but significant deformity the rightdiagnosis can be challenging. A 14 years old boy was admitted with a painless enlargement and clubbing involving the distal phalanx of the right great toe. X-rays were normal, only computer tomography and MRI showed a small round structure in the distal phalanx. Because of progression and unknown dignity a surgical excision was performed. Histologic examination of the painless lesion found an osteoid osteoma. No malignant change or recurrence appeared and the patient remained free of symptoms 2 years after operation. Keywords: great toe;Painless;osteoid osteoma;surgical excision;phalangeal bone;bone tumo