1
|
Daher M, Roukoz S, Pearl A, Saleh K. Osteoid osteoma of the wrist: Recent advances. HAND SURGERY & REHABILITATION 2023; 42:386-391. [PMID: 37182838 DOI: 10.1016/j.hansur.2023.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 04/18/2023] [Accepted: 05/04/2023] [Indexed: 05/16/2023]
Abstract
Osteoid osteoma is a benign bone tumor usually arising in the diaphysis and metaphysis of the long bones, with male predominance (sex ratio, 2:1). Despite being the most common bone tumor in the wrist, it is still an atypical location for this lesion. The usual presentation is pain that is exacerbated at night and relieved by aspirin or non-steroidal anti-inflammatory drugs. This presentation is not always the case in the wrist, which leads to numerous differential diagnoses and often a delay in definitive diagnosis and treatment. Various imaging modalities can confirm the presence of the tumor and guide the surgical approach. Resection is the gold-standard, with radiofrequency gaining popularity in recent years.
Collapse
Affiliation(s)
- Mohammad Daher
- Saint Joseph University, Hotel Dieu de France, Beirut, Lebanon
| | - Sami Roukoz
- Saint Joseph University, Hotel Dieu de France, Beirut, Lebanon
| | - Adam Pearl
- Wayne State University School of Medicine, Detroit, MI, USA; John D Dingell Veterans Affairs Medical Center, Detroit, MI, USA
| | - Khaled Saleh
- John D Dingell Veterans Affairs Medical Center, Detroit, MI, USA.
| |
Collapse
|
2
|
Tilden W, Lindsay D, Astrinakis E, Horwitz M, Saifuddin A. A 29-year-old male with a long history of atraumatic wrist pain. Skeletal Radiol 2021; 50:2125-2126. [PMID: 33712878 DOI: 10.1007/s00256-021-03743-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 02/09/2021] [Accepted: 02/14/2021] [Indexed: 02/02/2023]
Affiliation(s)
- William Tilden
- The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK.
| | - Daniel Lindsay
- The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK
| | | | | | - Asif Saifuddin
- The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK
| |
Collapse
|
3
|
Swank KR, Baker EA, Gehrke CK, Rohde RS. Surgical Management of Triquetral Osteoid Osteoma with Adjunct Tetracycline for Intraoperative Visualization: A Case Report. JBJS Case Connect 2020; 10:e20.00132. [PMID: 33512929 DOI: 10.2106/jbjs.cc.20.00132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
CASE We report the case of a 15-year-old male patient presenting with persistent wrist pain after surgical treatment of a triquetral osteoid osteoma. The patient was found to have a persistent nidus. These tumors are difficult to observe intraoperatively or through fluoroscopy, limiting adequate resection and resulting in continued pain. CONCLUSION The nidus was excised successfully through an unusual technique using tetracycline for intraoperative identification. The patient remains asymptomatic without recurrence at 31 months postoperative. Difficulties visualizing and removing carpal lesions leading to recurrence are described.
Collapse
Affiliation(s)
- Katherine R Swank
- Department of Orthopaedic Surgery, Beaumont Health, Royal Oak, Michigan
| | - Erin A Baker
- Department of Orthopaedic Research, Beaumont Health, Royal Oak, Michigan.,Department of Orthopaedic Surgery, Oakland University William Beaumont School of Medicine, Rochester, Michigan
| | - Corinn K Gehrke
- Department of Orthopaedic Research, Beaumont Health, Royal Oak, Michigan
| | - Rachel S Rohde
- Department of Orthopaedic Surgery, Beaumont Health, Royal Oak, Michigan.,Department of Orthopaedic Surgery, Oakland University William Beaumont School of Medicine, Rochester, Michigan
| |
Collapse
|
4
|
Hori K, Nakamura T, Sato K, Ikegami H, Toyama Y. Hypertrophic Pisiform: A Case of Osteoid Osteoma. J Wrist Surg 2020; 9:71-75. [PMID: 32025358 PMCID: PMC7000264 DOI: 10.1055/s-0039-1683929] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Accepted: 02/15/2019] [Indexed: 10/27/2022]
Abstract
We treated an extremely rare case of osteoid osteoma of the pisiform. Pisiform hypertrophy caused persistent pain and ulnar nerve irritation at Guyon's canal after the initial trauma. The re-enlargement of the pisiform attracted our attention allowing us to ultimately diagnose the condition as osteoid osteoma and treat the patient with a successful clinical result.
Collapse
Affiliation(s)
- Keiko Hori
- Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan
| | - Toshiyasu Nakamura
- Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan
| | - Kazuki Sato
- Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan
| | - Hiroyasu Ikegami
- Department of Orthopaedic Surgery, Toho University School of Medicine (Ohashi), Tokyo, Japan
| | - Yoshiaki Toyama
- Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan
| |
Collapse
|
5
|
Hassini L, Khalifa MA, Othman Y, Grissa Y. Osteoid osteoma of the sesamoid bone: An unusual localization. J Clin Orthop Trauma 2019; 10:1065-1067. [PMID: 31708629 PMCID: PMC6834943 DOI: 10.1016/j.jcot.2018.10.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Revised: 10/19/2018] [Accepted: 10/27/2018] [Indexed: 11/25/2022] Open
Abstract
Osteoid osteoma is the most common benign bone tumor because it accounts for 10-12% of all these tumors. Localized most often with long bones (75% of cases), especially in the tibia and femur, osteoid osteoma can evoke other etiologies, especially when it is juxta-articular. We report the case of an osteoid osteoma of the sesamoid in a 23-year-old patient with no particular history who presented pain at the root of his hallux evolving for 6 months. The clinical examination was without abnormalities. Standard X-rays found no lesions. The tomodensitometry of the foot showed an image "cockade" with a peripheral sclera ring. The patient underwent surgical excision with simple operative follow-up and disappearance of pain at one year of follow-up. The histopathological study confirmed the diagnosis. The osteoid osteoma of the sesamoid bone is exceptional. The diagnosis may be delayed due to misleading "articular" symptomatology.
Collapse
Affiliation(s)
- Lassaad Hassini
- Corresponding author. Department of Orthopaedic Surgery, University Hospital, Sahloul, 4000, Sousse, Tunisia.
| | | | | | | |
Collapse
|
6
|
Proximal Phalanx Osteoid Osteoma: A Case Report and Literature Review. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2017; 5:e1332. [PMID: 28607858 PMCID: PMC5459641 DOI: 10.1097/gox.0000000000001332] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Accepted: 03/21/2017] [Indexed: 11/25/2022]
Abstract
Osteoid osteoma is a rare clinical entity often mistaken for osteomyelitis, enchondroma, osteochondroma and other bony pathologies. Cardinal features include localized swelling and nocturnal pain often relieved by nonsteroidal antiinflammatory drugs. Definitive treatment requires surgical removal of the lesion by curettage or en bloc excision. The following case report details the diagnosis and management of a recurrent case of osteoid osteoma in a long finger proximal phalanx. Included with this case report is a literature review of osteoid osteomas on the hand and the anatomic distribution of 289 cases published in the last 30 years.
Collapse
|
7
|
Claeys R, Walsdorff M, Pargov S, Matasa R, Duttmann R, Cannie M. Osteoid osteoma of the pisiform bone: A rare cause of wrist pain. HAND SURGERY & REHABILITATION 2016; 35:296-298. [DOI: 10.1016/j.hansur.2016.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2016] [Revised: 04/21/2016] [Accepted: 04/28/2016] [Indexed: 11/17/2022]
|
8
|
Basran SS, Kumar S, Jameel J, Sajid I. Carpal tunnel syndrome: A rare manifestation of distal radius osteoid osteoma. J Clin Orthop Trauma 2015; 6:190-4. [PMID: 26155056 PMCID: PMC4488031 DOI: 10.1016/j.jcot.2015.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2014] [Accepted: 03/05/2015] [Indexed: 10/23/2022] Open
Abstract
Osteoid Osteoma is a benign bone tumor that normally affects long bones and rarely affects distal radius. Because of its nonspecific presentation in the wrist, it remains a diagnostic challenge. We report an unusual case of Osteoid Osteoma at distal radius having symptoms resembling that of carpal tunnel syndrome. The diagnosis was confirmed preoperatively with X-rays; bone scintigraphy, CT, and MRI, later histological examination confirmed the diagnoses. Surgical excision lead to a dramatic improvement in the condition of the patient.
Collapse
Affiliation(s)
- Sukhvinder Singh Basran
- Assistant Professor, Department of Orthopaedics, Hamdard Institute of Medical Science and Research (HIMSR), New Delhi 1100162, India,Corresponding author. Tel.: +91 8745066650 (mobile).
| | - Sandeep Kumar
- Associate Professor, Department of Orthopaedics, Hamdard Institute of Medical Science and Research (HIMSR), New Delhi 1100162, India
| | - Javed Jameel
- Assistant Professor, Department of Orthopaedics, Hamdard Institute of Medical Science and Research (HIMSR), New Delhi 1100162, India
| | - Imran Sajid
- Senior Resident, Department of Orthopaedics, Hamdard Institute of Medical Science and Research (HIMSR), New Delhi 1100162, India
| |
Collapse
|
9
|
Abstract
Carpal osteoid osteomas are extremely rare, and only six cases in the pisiform have ever been described, but all concerned exclusively adults. We have treated a unique case of osteoid osteoma in the pisiform of a 13-year-old girl. We excised en bloc the nidus, which resulted in total excision of the pisiform. At follow-up after 15 years there was no recurrence and the patient remains asymptomatic with equal functionality of both hands. Henceforth, we must include osteoid osteoma in the differential diagnosis of pisiform lesions in children. En bloc resection prevents its recurrence and even the complete pisiform excision renders excellent results.
Collapse
|
10
|
Simon AL, Ilharreborde B, Litzelmann E, Mazda K, Penneçot GF. Eight-Year Natural Course of a Femoral Neck Deformity Secondary to an Osteoid Osteoma Discovered at Fourteen Months of Age: A Case Report. JBJS Case Connect 2013; 3:e119. [PMID: 29252519 DOI: 10.2106/jbjs.cc.m.00108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- A L Simon
- Department of Pediatric Orthopaedic Surgery, Robert Debré Hospital, 48 Boulevard Sérurier 75019 Paris, France.
| | | | | | | | | |
Collapse
|
11
|
Thomsen L, Dumontier C. Osteoid osteoma of the pisiform: A case report. ACTA ACUST UNITED AC 2011; 30:76-9. [DOI: 10.1016/j.main.2010.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2009] [Revised: 07/01/2010] [Accepted: 07/02/2010] [Indexed: 10/19/2022]
|
12
|
Laffosse JM, Tricoire JL, Cantagrel A, Wagner A, Puget J. Osteoid osteoma of the carpal bones. Two case reports. Joint Bone Spine 2006; 73:560-3. [PMID: 16904929 DOI: 10.1016/j.jbspin.2005.11.021] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2005] [Accepted: 11/30/2005] [Indexed: 10/24/2022]
Abstract
Osteoid osteoma rarely develops in the wrist. The symptoms resemble atypical tenosynovitis, with variations according to the location of the tumor. As a result, diagnostic wanderings are common. In addition, the pain may seem related to an injury, as illustrated by two cases reported herein. Conventional investigations often fail to contribute to the diagnosis. The most specific investigation is thin-slice computed tomography (CT), which can be coupled to magnetic resonance imaging. CT typically visualizes a round lucency surrounded by a rim of sclerosis; in addition, CT shows the exact location of the tumor, particularly relative to neighboring joints. Complete excision of the nidus must be achieved to ensure a permanent cure. Same-stage carpal bone fusion may be required in patients with extensive joint involvement.
Collapse
Affiliation(s)
- Jean-Michel Laffosse
- Service d'Orthopédie et de Traumatologie, CHU de Rangueil, 1, avenue Jean Poulhès TSA 50032, 31059 Toulouse cedex 9, France.
| | | | | | | | | |
Collapse
|
13
|
Themistocleous GS, Chloros GD, Benetos IS, Efstathopoulos DG, Gerostathopoulos NE, Soucacos PN. Osteoid osteoma of the upper extremity. A diagnostic challenge. ACTA ACUST UNITED AC 2006; 25:69-76. [PMID: 16841767 DOI: 10.1016/j.main.2006.02.001] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Osteoid osteomas are benign tumors that may commonly mimic other entities in the upper extremity. The purpose of this study is to describe the clinical and imaging features of osteoid osteomas involving the upper extremity, highlight the difficulties in the diagnosis in the various areas and propose a diagnostic workup. Fourty-eight patients with histologically confirmed osteoid osteoma of the upper extremity treated at the authors' department from 1985 to 2000 were retrospectively reviewed. Data pertinent on the patients' history, lesion location, clinical and imaging characteristics as well as any unique features of individual patients were collected. There were 29 males and 19 females with a mean age of 28 years (range 20-42). The average duration of symptoms before definite diagnosis was 18 months (range 2-62). Pain was the presenting symptom in 46 of 48 patients, whereas swelling was the main complaint in 2 of the patients. Mean pre-operative visual analogue pain scale (VAS), was 8.8 ranging from 5.1 to 9.3. Eight lesions were located in the humerus, 4 in the ulna and 7 in the radius. In the carpal bones, 4 were located in the scaphoid, 4 in the capitate and 5 in the hamate. Seven lesions were located at the metacarpals and 9 lesions at the phalanges (5 proximal, no middle and 4 distal phalangeal lesions). Radiographs alone were sufficient to establish the diagnosis of osteoid osteoma in 32 cases. Bone scans identified a "hot spot" in 16 patients without previous radiographic evidence of a lesion and furthermore, computed tomography was performed in 32 patients to assist in the intraosseous localization of the lesion, and in the pre-operative planning. All patients underwent operative excision of the lesion and the diagnosis was confirmed by histology. Mean follow-up was 28 months (range 25-42). Fourty-three patients had an uneventful recovery. Mean post-operative VAS value was 1.8 ranging from 0 to 3. Osteoid osteoma of the upper extremity often mimics other etiologies and the complex anatomy of the upper extremity, as well as the tendency of patients to relate their symptoms to trauma are factors that easily lead to misdiagnosis or delay in the diagnosis. A high index of suspicion is essential and the diagnosis is based on an accurate clinical assessment and careful selection of imaging studies.
Collapse
Affiliation(s)
- G S Themistocleous
- Department of Hand Surgery and Microsurgery, KAT Hospital, 2 Nikis Street, 145 61 Athens, Greece.
| | | | | | | | | | | |
Collapse
|
14
|
Schindler A, Hodler J, Michel BA, Bruehlmann P. Osteoid osteoma of the capitate. ARTHRITIS AND RHEUMATISM 2002; 46:2808-10. [PMID: 12384942 DOI: 10.1002/art.10579] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Andreas Schindler
- Rheumaklinik und Institut für Physikalische Medizin, Universitaetsspital, Gloriastrasse 25, CH-8091 Zurich, Switzerland
| | | | | | | |
Collapse
|
15
|
Niamane R, Lespessailles E, Deluzarches P, Vialat JF, Maitre F, Benhamou LC. Osteoid osteoma multifocally located and recurrent in the carpus. Joint Bone Spine 2002; 69:327-30. [PMID: 12102283 DOI: 10.1016/s1297-319x(02)00402-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The authors report a case of osteoid osteoma located simultaneously at the right carpitate and at the proximal part of the right third metacarpian. A 31-year-old man presented in 1997 an osteoid osteoma involving the right capitate. One year after the surgical excision of the tumor, a second osteoid osteoma reappears to the same place requiring a 2nd intervention. A 3rd osteoid osteoma was discovered 16 months later at the proximal part of the right third metacarpian. After every excision, the pathological aspect was compatible with a nidus of osteoid osteoma. Osteoid osteoma of capitate are very rare. Multifocal forms are exceptional. If relapses of the tumor are sometimes explained by the incomplete excision of the nidus, the pathogenesis of the true recurrence remains unclear.
Collapse
Affiliation(s)
- Radouane Niamane
- Rheumatology Department, Porte Madeleine Hospital, Orléans, France
| | | | | | | | | | | |
Collapse
|