No abstract

Glomus tumour is a benign lesion arising from the glomus apparatus of the skin and subcutaneous tissue. Glomangioma is the angiomatous variant, which is uncommon. We report a very rare presentation of a glomangioma with multiple recurrences. We advocate preoperative angiography to delineate the extent of the lesion to facilitate complete excision.

Fractures of the hamate are rare, and usually associated with athletes. We describe an unusual form of the injury involving fractures of the hook as well as an intra-articular medial facet. It is likely to be a result of high velocity ulnar component of the axial injury. Surgical treatment is advocated to achieve accurate reduction and apposition of the fifth carpometacarpal joint.

Fifty-five localised pigmented villonodular synovitis (giant cell tumour of the tendon sheath) in the hands and wrists in 53 patients, treated in a local hospital over a 5-year period, were reviewed. The mean age at presentation was 39.9 years, with 84.9% of the cases being Chinese. There was a predilection for the ring finger and females. There was no significant association with antecedent trauma. 56.4% of patients had associated X-rays changes. All patients had complete excision of the tumour and 4 recurrences noted, giving a rate of 7.3%. Follow-up period range from 1 to 5 years. Postoperative morbidity consisted of two cases with mild stiffness. There was good local control with minimal morbidity and low recurrence rate.