Triquetral Osteoid Osteoma: A Diagnostic Dilemma
-
Mahmoud Farzan
,
Amirreza Farhoud
,
Mohammad Zarei
,
Furqan Mohammed Yaseen Khan
,
Mohammad Javad Dehghani Firoozabadi
Abstract
Background: Osteoid osteoma (OO) is a benign osteoblastic neoplasm, mostly occurring in long bones of lower extremity. Its manifestation in unusual locations can be a diagnostic challenge and distressing for patients. OO in carpal bones is uncommon; its occurrence in triquetrum is even more so.
Case Presentation: This study reports on a nineteen-year-old female with history of wrist pain for 4 years. She had sustained trauma to the same wrist before commencing of pain. Patient's pain was unresponsive to conservative treatments. Her routine x-rays were mostly interpreted as normal and obtaining further imaging helped us in diagnosis of OO of triquetrum. Surgical resection of the nidus was performed.
Conclusions: Manifestation of OO in small carpal bones may not be typical; identifying the lesion or nidus could be challenging. Whatever unusual the location or presentation of such lesions may be, obtaining advanced imaging can be of significant help; therefore, we suggest clinicians to have low threshold in ordering advanced imaging specifically in patients suffering from chronic pain. Also, persistent history of nocturnal pain is a sign which is worth attention.
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Osteoidosteoma:MRimagingversusCT.
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[PubMed: 8134575].
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[PubMed: 22052644].
20. Payne WT, Merrell G. Benign bony and soft tissue tumors of the hand. J Hand Surg Am. 2010;35(11):1901-10. doi: 10.1016/j.jhsa.2010.08.015. [PubMed: 20961700].
21. Ambrosia JM, Wold LE, Amadio PC. Osteoid osteoma of the hand and wrist. J Hand Surg Am. 1987;12(5 Pt 1):794-800. doi: 10.1016/s0363-5023(87)80072-2. [PubMed: 3655246].
22. Bednar MS, McCormack RR Jr, Glasser D, Weiland AJ. Osteoid osteoma of the upper extremity. J Hand Surg Am. 1993;18(6):1019-25. doi: 10.1016/0363-5023(93)90395-J. [PubMed: 8294734].
23. Tricoire JL, Duport M, Puget J, Mazieres B, Chiron P, Utheza G. Osteoid osteoma of the trapezoid bone. Ann Chir Main Memb Super. 1991;10(2):175-7. doi: 10.1016/s0753-9053(05)80208-x. [PubMed: 1716134].
24. Jafari D, Najd Mazhar F. Osteoid osteoma of the trapezoid bone. Arch Iran Med. 2012;15(12):777-9. doi: 0121512/AIM.0012. [PubMed: 23199252].
2. Marcuzzi A, Acciaro AL, Landi A. Osteoid osteoma of the hand and wrist. J Hand Surg Br. 2002;27(5):440-3. doi: 10.1054/jhsb.2002.0811. [PubMed: 12367542].
3. Taylor SA, Trehan SK, Crivello KM, Schneider R, Wolfe SW. Osteoid osteoma of the triquetrum: A case of four-year delay in diagnosis. HSS J. 2014;10(2):191-6. doi: 10.1007/s11420-014-9382-z. [PubMed: 25050104]. [PubMed Central: PMC4071466].
4. Herzberg G, Baaklini M, Al SM, Izem Y. Intra-articular sub-periosteal osteoid osteoma of the triquetrum. Case report. Chir Main. 2010;29(5):332-4. doi:10.1016/j.main.2010.06.013. [PubMed: 20724201].
5. O'Hara JP 3rd, Tegtmeyer C, Sweet DE, McCue FC. Angiography in the diagnosis of osteoid-osteoma of the hand. J Bone Joint Surg Am. 1975;57(2):163-6. [PubMed: 1089668].
6. Mortazavi MJ, Farzan M, Farhoud A, Dehghani-Firoozabadi MJ, Khan FMY. Osteoid osteoma in hand: Case series with long-term follow up. Academic Journal of Surgery. 2018;5(3).
7. Laffosse JM, Tricoire JL, Cantagrel A, Wagner A, Puget J. Osteoid osteoma of the carpal bones. Two case reports. Joint Bone Spine. 2006;73(5):560-3. doi: 10.1016/j.jbspin.2005.11.021. [PubMed: 16904929].
8. Lee EH, Shafi M, Hui JH. Osteoid osteoma: A current review. J
Pediatr Orthop. 2006;26(5):695-700. doi:
10.1097/01.bpo.0000233807.80046.7c. [PubMed: 16932114].
9. Burger IM, McCarthy EF. Phalangeal osteoid osteomas in the hand: A diagnostic problem. Clin Orthop Relat Res. 2004;(427):198-203. doi: 10.1097/01.blo.0000142623.97901.39. [PubMed: 15552158].
10. Henderson M, Neumeister MW, Bueno RA Jr. Hand tumors: II.
Benign and malignant bone tumors of the hand. Plast
Reconstr Surg. 2014;133(6):814e-21e. doi:
10.1097/PRS.0000000000000178. [PubMed: 24867740].
11. Rosenfeld K, Bora FW Jr, Lane JM. Osteoid osteoma of the hamate. A case report and review of the literature. J Bone Joint Surg Am. 1973;55(5):1085-7. [PubMed: 4760094].
12. Murray PM, Berger RA, Inwards CY. Primary neoplasms of the carpal bones. J Hand Surg Am. 1999;24(5):1008-13. doi: 10.1053/jhsu.1999.1008. [PubMed: 10509280].
13. Alcalay M, Clarac JP, Bontoux D. Double osteoid-osteoma in adjacent carpal bones. A case report. J Bone Joint Surg Am. 1982;64(5):779-80. [PubMed: 7085705].
14. Arora J, McLauchlan J, Munro N. Recurrent osteoid osteoma of the lunate: A case report and review of the literature. Hand Surg. 2003;8(2):239-42. doi: 10.1142/s0218810403001704.
[PubMed: 15002104].
15. Schindler A, Hodler J, Michel BA, Bruehlmann P. Osteoid osteoma of the capitate. Arthritis Rheum. 2002;46(10):2808-10. doi: 10.1002/art.10579. [PubMed: 12384942].
16. Jafari D, Shariatzade H, Mazhar FN, Abbasgholizadeh B, Dashtebozorgh A. Osteoid osteoma of the hand and wrist: A report of 25 cases. Med J Islam Repub Iran. 2013;27(2):62-6. [PubMed: 23741167]. [PubMed Central: PMC3610309].
17. Assoun J, Richardi G, Railhac JJ, Baunin C, Fajadet P, Giron J, et al.
Osteoidosteoma:MRimagingversusCT.
Radiology.1994;191(1):217-23. doi: 10.1148/radiology.191.1.8134575.
[PubMed: 8134575].
18. Ghanem I. The management of osteoid osteoma: Updates and controversies. Curr Opin Pediatr. 2006;18(1):36-41. doi: 10.1097/01.mop.0000193277.47119.15. [PubMed: 16470160].
Atesok KI, Alman BA, Schemitsch EH, Peyser A, Mankin H. Osteoid osteoma and osteoblastoma. J Am Acad Orthop Surg. 2011;19(11):678-89. doi: 10.5435/00124635-201111000-00004.
[PubMed: 22052644].
20. Payne WT, Merrell G. Benign bony and soft tissue tumors of the hand. J Hand Surg Am. 2010;35(11):1901-10. doi: 10.1016/j.jhsa.2010.08.015. [PubMed: 20961700].
21. Ambrosia JM, Wold LE, Amadio PC. Osteoid osteoma of the hand and wrist. J Hand Surg Am. 1987;12(5 Pt 1):794-800. doi: 10.1016/s0363-5023(87)80072-2. [PubMed: 3655246].
22. Bednar MS, McCormack RR Jr, Glasser D, Weiland AJ. Osteoid osteoma of the upper extremity. J Hand Surg Am. 1993;18(6):1019-25. doi: 10.1016/0363-5023(93)90395-J. [PubMed: 8294734].
23. Tricoire JL, Duport M, Puget J, Mazieres B, Chiron P, Utheza G. Osteoid osteoma of the trapezoid bone. Ann Chir Main Memb Super. 1991;10(2):175-7. doi: 10.1016/s0753-9053(05)80208-x. [PubMed: 1716134].
24. Jafari D, Najd Mazhar F. Osteoid osteoma of the trapezoid bone. Arch Iran Med. 2012;15(12):777-9. doi: 0121512/AIM.0012. [PubMed: 23199252].
| Files | ||
| Issue | Vol 4, No 2 (2018) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v4i2.2963 | |
| Keywords | ||
| Osteoid osteoma Bone tumor Diagnosis Carpal bones Triquetrum Bone | ||
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How to Cite
1.
Farzan M, Farhoud A, Zarei M, Khan F, Firoozabadi M. Triquetral Osteoid Osteoma: A Diagnostic Dilemma. J Orthop Spine Trauma. 2020;4(2):35-37.
