Glomus tumor in the patellar ligament. A case report.

Extradigital Glomus Tumour Causing Thigh Pain: A Case Report

“…1,[3][4][5][6] Its small size and possible deeper location 7-9 such as in striated muscle 10 makes localisation difficult and may delay treatment. In our case, marked wasting of the thigh, an antalgic gait, pain on contraction of vastus lateralis, hyperaesthesia, and acute point tenderness allowed a clinical diagnosis to be made.…”

Glomus tumour in the forearm: a case report and review of mri findings

“…Glomus tumours are well described in the extremities, particularly in the sub-ungual region and MRI is well established as the investigation of choice (1). However, a significant proportion of glomus tumours are extra-digital, but the discussion of MRI findings of extradigital tumours is limited and restricted to case reports (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). We present a case of a solitary painful forearm lesion in an 81-year-old man, and review the English literature on extra-digital glomus tumours documenting MR imaging features.…”

Thigh Pain of 5 Years’ Duration in a 48-year-old Man

“…When the index of suspicion for a glomus tumor is low, the physician constructs and investigates a list of differential diagnoses that is based on the anatomic site, rather than the nature of the complaint. Upper extremity pain is investigated and treated for radiculopathy [14], shoulder pain for impingement [14], knee pain for meniscal disorders [18], and back pain for spinal cord disorders [3,15,31]. Once all these investigations fail, a ''functional'' or psychiatric basis is considered [1,4,7,19,36].…”

“…Various nonoperative and alternative modalities have been tried and have failed [4,14,18,28,30,31,33,35,38]. Errors in diagnosis have led to inappropriate minimally invasive [26,38] and traditional surgery [1,5,7,14,18,19,30,35,36] that would not relieve symptoms. Nine percent of patients with extradigital glomus tumors underwent at least one invasive procedure before the proper diagnosis was discovered [33].…”

“…Marked wasting has been described in the shoulder [37], thigh [1,4,7,16,18], calf [16,19], and gluteal muscles [13]. This was reversed partially after surgical resection [4,16,18].…”