Parosteal osteosarcoma is an uncommon, low-grade malignant bone tumor
and is found in an older age group than conventional osteosarcoma. We
present a talar parosteal osteosarcoma that recurred twice in a 2-year
-old child. To our knowledge, this is the youngest patient reported wi
th a parosteal osteosarcoma. The talus is an unusual site for parostea
l osteosarcoma. Inadequate resection due to a diagnosis of juxtacortic
al chondroma resulted in recurrence of the tumor. The age of the patie
nt, the thick cartilaginous cap, and well-differentiated trabecular bo
ne all contributed to the critical erroneous diagnosis.