A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain

  • Mohammad Nejadhosseinian Mail Joint reconstruction research center , Imam Khomeini hospital , Tehran university of medical science , Tehran , IR Iran
  • Amir Reza Farhoud ORCID Joint Reconstruction Research Center, Tehran University of Medical Sciences
  • Mohammad Javad Dehghani FiroozAbadi Joint reconstruction research center, Tehran University of Medical Sciences
  • SM Javad Mortazavi Joint reconstruction research center, Tehran University of Medical Science
Keywords:
Osteoid Osteoma; Wrist; Tumors

Abstract

Background: Osteoid osteoma (OO) is a benign tumor that rarely occurs in carpal bones. The occurrence of OO in trapezoid is extremely rare. We present a patient with OO of the trapezoid as 7th reported case around the world.

Case Presentation: A 25-year-old man was referred to our clinic with a 12-month history of pain of his left wrist. He mentioned that he had wrist pain during manual activity and the pain was increasing over time. He did not have a history of trauma. He was treated with nonsteroidal anti-inflammatory drugs (NSAIDs) before being referred to our clinic; however, it did not work. Examination showed tenderness over the dorsoradial side of the left wrist. Conventional radiographs of the wrist were normal. Computed tomography (CT) demonstrated a halo radiolucent osteoid tissue surrounded by sclerotic tissue in the left trapezoid. Magnetic resonance imaging (MRI) showed a focal hypointense lesion (nidus) in the trapezoid with a 10 mm diameter. Focal increased uptake of 99mTc in his trapezoid was shown by bone scintigraphy. According to the clinical and imaging findings, we considered excisional biopsy with the diagnosis of trapezoid bone. Surgery was performed through a dorsal incision. We performed en bloc excision. Histopathological findings confirmed the diagnosis of OO. The patient got pain-free on postoperative day 3.

Conclusions: Carpal bones tumor such as OO should be considered in differential diagnosis of patients with chronic wrist pain.

 

Author Biographies

Amir Reza Farhoud, Joint Reconstruction Research Center, Tehran University of Medical Sciences

Assistant Professor, Department of Orthopedics, Joint reconstruction research center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran

Mohammad Javad Dehghani FiroozAbadi, Joint reconstruction research center, Tehran University of Medical Sciences

Orthopedic Surgeon, Department of Orthopedics, Joint reconstruction research center, Imam Khomeini Hospital, Tehran University of Medical Science, Tehran, Iran

SM Javad Mortazavi, Joint reconstruction research center, Tehran University of Medical Science

Professor of Orthopedic Surgery, Department of Orthopedics, Joint reconstruction research center, Imam Khomeini Hospital, Tehran University of Medical Science, Tehran, Iran

References

1. Henderson M, Neumeister MW, Bueno Jr RA. Hand tumors: II. Benign and malignant bone tumors of the hand. Plastic and reconstructive surgery. 2014;133(6):814e-21e.
2. Ghiam GF, Bora FW. Osteoid osteoma of the carpal bones. The Journal of hand surgery. 1978;3(3):280-3.
3. Tricoire J, Duport M, Puget J, Mazieres B, Chiron P, Utheza G. Osteoid osteoma of the trapezoid bone. Annales de chirurgie de la main et du membre superieur: organe officiel des societes de chirurgie de la main= Annals of hand and upper limb surgery. 1990;10(2):175-7.
4. Girard J, Becquet E, Limousin M, Chantelot C, Fontaine C. Osteoma osteoid of the trapezoid bone: a case-report and review of the literature. Chirurgie de la main. 2005;24(1):35-8.
5. Tonogai I, Hamada Y, Yasui N. A case of osteoid osteoma of the trapezoid bone: the efficiency of dynamic magnetic resonance imaging for the detection of osteoid osteoma localized at the atypical site. Hand Surgery. 2012;17(01):99-103.
6. Jafari D, Mazhar FN. Osteoid osteoma of the trapezoid bone. Archives of Iranian medicine. 2012;15(12):777.
7. Murray PM, Berger RA, Inwards CY. Primary neoplasms of the carpal bones. The Journal of hand surgery. 1999;24(5):1008-13.
8. Klein MH, Shankman S. Osteoid osteoma: radiologic and pathologic correlation. Skeletal radiology. 1992;21(1):23-31.
9. Assoun J, Richardi G, Railhac J-J, Baunin C, Fajadet P, Giron J, et al. Osteoid osteoma: MR imaging versus CT. Radiology. 1994;191(1):217-23.
10. Atesok KI, Alman BA, Schemitsch EH, Peyser A, Mankin H. Osteoid osteoma and osteoblastoma. Journal of the American Academy of Orthopaedic Surgeons. 2011;19(11):678-89.
11. Marcuzzi A, Acciaro AL, Landi A. Osteoid osteoma of the hand and wrist. Journal of Hand Surgery. 2002;27(5):440-3.
Published
2020-05-07
How to Cite
1.
Nejadhosseinian M, Farhoud AR, Dehghani FiroozAbadi MJ, Mortazavi SJ. A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain. J Orthop Spine Trauma. 4(4):77-79.
Section
Case Report