Osteoid osteoma of the lunatum mimicking Kienböck’s disease

Güner, Mehmet Derviş; Kamburoğlu, Haldun Onuralp; Bektaş, Umut; Ay, Şadan

doi:10.3109/23320885.2014.993647

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…One other case in the literature was also initially diagnosed as Kienbock’s disease. 15 Given the swelling and synovitis/tenosynovitis noted on wrist arthroscopy, consideration was also given to this as a first presentation of a systemic inflammatory arthritis; however, there were no associated features suggestive of a systemic inflammatory arthritis and it is well known that juxta-articular or intra-articular osteoid osteomas can present with synovitis and effusion, more so than extra-articular osteoid osteomas. 4 16–18 Finally, the patient also tested positive on IGRA, giving consideration to TB of the wrist.…”

Section: Discussionmentioning

confidence: 99%

Persistent wrist monarthritis: down to the bone

Cheah¹,

Fields

2018

BMJ Case Reports

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A minority of osteoid osteomas are found to be juxta-articular and within the small bones of the wrist. We present a 30-year-old man diagnosed with an osteoid osteoma of the lunate bone, presenting with 3 years of left wrist pain, swelling and reduced range of motion. Given the patient’s background and laboratory testing, consideration was given to both inflammatory and infectious causes and the diagnosis was delayed, requiring repeat interval imaging and assisted by multiple imaging modalities. Management by surgical excision led to resolution of pain and swelling. In cases of a prolonged isolated monarthritis, juxta-articular osteoid osteoma should be considered in the differential.

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Section: Discussionmentioning

confidence: 99%

Persistent wrist monarthritis: down to the bone

Cheah¹,

Fields

2018

BMJ Case Reports

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“…Among the bones of the wrist, the scaphoid bone is most commonly affected. OO of the carpal region can lead to misdiagnoses, including sterile necrosis of the lunate bone and post-traumatic midcarpal joint synovitis [ 39 , 40 ].…”

Section: Atypical Osteoid Osteomas: Presentation and Diagnosismentioning

confidence: 99%

Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature

Napora

Wałejko

Mazurek

2023

JCM

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Osteoid osteoma (OO) is a common benign bone tumour, usually affecting young people. Typically, it is localised to the diaphyses or metaphyses of long bones. The classical manifestation includes distinctive night pain, almost always present, responding well to non-steroidal anti-inflammatory drugs, sometimes accompanied by complaints due to physical activity, and a typical picture on additional tests. A characteristic of osteoid osteoma is the presence of a nidus, usually visible on imaging tests. The nidus generally presents as a single, round lytic lesion up to 1 cm in diameter, surrounded by an area of reactive ossification. However, OO is a multifaceted neoplasm, and its diagnosis can cause numerous difficulties. OO can mimic multiple diseases and vice versa, which often leads to a prolonged diagnostic and therapeutic path and associated complications. There are few literature reviews about the differentiation and diagnostic difficulties of osteoid osteoma. Very effective therapies for this tumour are known, such as ablation and resection. Enhanced detection of osteoid osteoma could result in faster diagnosis and less suffering for the patient, avoidance of complications, and reduced costs of incorrect and prolonged treatment.

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