A Large Osteoid Osteoma of Trapezium: A Regenerative Approach and a Review of Literature

Osteoid Osteoma of the Trapezium: A Rare Case Report and Literature Review

“…Osteoid osteoma is a common benign lesion, representing 10% to 12% of all benign bone tumors and 3% of all primary bone tumors [2]. Males in their second decade of life are mostly affected, and in more than 50% of the cases, the metaphysis and diaphysis of long bones are involved [3,7,8]. The first case of osteoid osteoma of the trapezium was reported in 1976 in a 16-year-old patient [9].…”

“…The first case of osteoid osteoma of the trapezium was reported in 1976 in a 16-year-old patient [9]. Other common sites include the spine, upper extremity, hands, feet, and pelvis [3]. Although the carpus is a rare location for an osteoid osteoma to occur, Murray et al report 11 osteoid osteomas in 44 primary carpal tumors detected, reviewing 26,800 bone neoplasms in total [7].…”

“…Osteoid osteoma, which Jaffe first reported in 1935 [1], is a moderately frequent skeletal lesion that accounts for roughly 12% of all benign bone neoplasms. These tumors usually manifest in the cortises of long bones, such as the femur and the tibia, which are the most common sites of presentation [2][3][4]. Reviewing the literature, we found only seven osteoid osteomas reported at the trapezium.…”

“…Reviewing the literature, we found only seven osteoid osteomas reported at the trapezium. The patients typically complain of pain worsening during the night that may also be intense enough to awaken them [3,5,6]. A computed tomography (CT) scan is the imaging of choice to reach a diagnosis, considering plain radiographs may be inconclusive.…”

“…Treatment is mainly surgical, since most of the osteoid osteomas of the carpus are easily accessible. Conservative treatment must be considered in patients where the loci of the lesions are difficult to approach [3].…”