Benign bone tumors of hand and wrist: evaluation of diagnosis and treatment

Abstract

A hand or wrist bone lesion may be benign, primary malignant, or metastatic. Malignant and metastatic osseous tumors of the hand are rare, and the most common tumors are in the benign group. [1] Benign bone tumors and tumor-like lesions of the hand and wrist are often found incidentally [2] and reportedly account for 2-5% of all skeletal tumors. Enchondroma was reported in up to 90% of all benign tumors of the hand. [1] However, due to their rarity, incidences of hand and wrist benign bone tumors are still not known. [3] Treatment generally consists of curettage and grafting, yet there remains a need for more studies investigating the choice of graft or cement. The relationship between the graft type and union rates, final range of motion (ROM), and complications is also not clear. Besides, possible reasons for recurrences, pathologic fractures, and how to prevent them are still not completely clear. This study excluded malign lesions and only focused on benign bone tumors and tumor-like lesions of the hand and wrist. Thus, in this study, we aimed to investigate the choice of graft or cement, the relationship between the graft types and union rates, functional results, and complications in hand and wrist benign bone lesions while also evaluating the Objectives: This study aims to investigate the choice of graft or cement, the relationship between the graft types and union rates, functional results, and complications in hand and wrist benign bone lesions while also evaluating the diagnosis and treatment modalities of lesions with high recurrence potential like giant cellcontaining lesions.

Osteoid Osteoma of the Hand: Surgical Treatment versus CT-Guided Percutaneous Radiofrequency Thermal Ablation

“…A retrospective analysis was conducted on patients with OO of the hand that underwent surgical excision between January 2011 and December 2017 and radiofrequency ablation between January 2018 and December 2020. Inclusion criteria were the presence of clinical symptoms such as local pain in the hand, relief after the use of anti-inflammatory drugs, and a radiologic clear evidence of osteoid osteoma [ 1 ]. Patients with previous surgical or percutaneous treatment or that had initially been managed by other centers ( n = 8) were excluded from the study.…”

“…A total of 27 patients were enrolled in the study. Of these patients the following were recorded: age, sex, type of work (heavy manual labor, light office labor, or unemployed), the side affected by the disease, site (carpal, metacarpal, phalanges), bone placement (periosteal, intracortical, subcortical) and size (<5 mm or ≥5 mm, according to the largest diameter of the nidus seen at the CT scan [ 1 ]) of the disease. Patients were then divided according to treatment choice (surgical excision or radiofrequency ablation) and the following were recorded: complications such as stiffness, pain, intraoperative fracture, local relapse (intended as the failure of completely removing the neoformation), heat lesions (intended as damage to soft tissues due to the heat generated by the RFA electrode); recurrence (intended as the reappearance of the symptoms after a disease-free period of at least 3 months); and return to work recorded as the number of weeks required to resume full work activity.…”

“…Besides enchondroma, osteoid osteoma (OO) is one of the most common benign bone tumors. This type of osteogenic tumor is generally characterized by a well-defined lytic area with a vascularized central nidus surrounded by sclerosis and bone thickening [ 1 ]. The lesion typically occurs in children and young adults between the first and third decades of life and is usually localized in the long bones of the lower limbs [ 2 ].…”