Osteoid Osteoma of the Trapezium: Case Report of an Unusual Tumor Location Presenting a Diagnostic Challenge

Roberts, Sanford E.; Mirzabeigi, Michael N.; Naik, Amruta; Preciado, Christopher; Chang, Brian M.

doi:10.1155/2017/3683854

Cited by 3 publications

(7 citation statements)

References 9 publications

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“…The patient was treated with curettage, experiencing immediate improvement in pain and no recurrence at 12-month follow-up. A 34-year-old woman with osteoid osteoma was initially misdiagnosed with carpometacarpal arthritis, according to a report by Roberts et al [6] in 2017. In this instance, an MRI scan revealed a hypointense circular lesion along the dorsal portion of the trapezium.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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

Koutas,

Papagiannis,

Giannatos

et al. 2023

Cureus

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Osteoid osteoma is the most common benign osteogenic bone neoplasm. Osteoid osteomas are typically located in the metaphysis and diaphysis of long bones, especially the tibia and femur. However, less common sites of the skeleton can be affected as well, including carpal bones. Among carpal bones, the scaphoid and the capitate are the most affected. Osteoid osteoma of the trapezium is an extremely rare entity, with only seven cases reported in recent literature. We present a case of a 29-year-old male with persistent left wrist pain who was diagnosed with an osteoid osteoma of the trapezium bone. The diagnosis was based on the patient's history, clinical examination and findings from the CT scan, MRI, and plain radiographs. The patient was treated with an excision biopsy with no additional bone grafting. After a follow-up period of 12 months, no pain or signs of recurrence were present. We conducted a literature review to elucidate the clinical presentation as well as the proper diagnostic tools and therapeutic methods for this rare occurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Koutas,

Papagiannis,

Giannatos

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…The patient experienced immediate improvement in clinical pain and no recurrence at a 1-year follow-up. In 2017, Roberts et al 39 described a case of a 34-year-old woman with osteoid osteoma initially confused with carpometacarpal arthritis. In this case, an MRI scan showed a hypointense circular lesion along the dorsal aspect of the trapezium, and a CT study was conducted to better characterize the lesion.…”

Section: Discussionmentioning

confidence: 99%

“…After excision, the patient experienced complete pain relief and did not have any recurrence. 39 In this study, because of the unusually large tumor size of 1.3 cm, we filled the bone loss with bioactive glass to avoid donor morbidity in such a young patient. There are many kinds of bioactive glasses, and we elected to use GlassBONE (Noraker) in 2 different formulations, “granules” to fill the bone defect and “putty,” a formulation with glycol polyethylene and glycerol, which grants ligand property useful for roofing the filled area.…”

Section: Discussionmentioning

confidence: 99%

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

Gravina

Francesco

Pangrazi

et al. 2022

Journal of Hand Surgery Global Online

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P091 Osteoid osteoma of the trapezoid bone: a diagnostic pitfall of a wrist chronic monoarthritis

et al. 2021

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Background Osteoid osteoma is a benign bone tumor representing ∼10% of all benign bone tumors. Although osteoid osteoma of the long bones is usual, the location in the carpus, especially, in the trapezoid bone is rare [1,2]. The Objective is toreport a case of osteoid osteoma of the trapezoid bone with extension to the adjacent second metacarpal bone that was missed diagnosis at initial presentation. Methods We describe the clinical, radiological features and outcomes after surgical resection. Results A 24-year-old right-handed female, presented with a three-year history of pain at the left wrist, particularly, in the radial-side. She didn’t report any trauma to the wrist. The pain increased over time. She couldn’t use her hand in daily activities and could hardly sleep because of increasing pain at night. Before being referred to our department, she consulted a surgeon. She was treated with oral anti-inflammatory drugs, steroids, several intraarticular steroid injections without relieving pain. The Magnetic resonance imaging (MRI) showed bone marrow oedema in the trapezium and the trapezoid bone, synovial effusion, and tenosynovitis of the flexors of the thumb. A synovectomy was performed and the histopathology revealed non-specific chronic inflammation. One year later in our department, examination showed wrist swelling, tenderness and pain on palpation. The erythrocyte sedimentation rate was 12 mm/h and the mean C-reactive protein was 2 mg/l. Autoantibodies testing were negative. Initial radiography was read as normal. Initially, Naproxen (550 mg/day) and Morphine (60 mg/day) were prescribed with partially relieving pain. Scintigraphy showed increased uptake of 99mTc in the radial-side of the left wrist. Then, a bone tumor was suspected. The Computed tomography (CT) images revealed a well-demarcated sclerotic nidus surrounded by a halo of radiolucent osteoid tissue, consistent with an osteoid osteoma of the trapezoid bone and the adjacent second metacarpal bone. Surgical resection of the osteoid osteoma was performed. Histopathological examination confirmed the diagnosis. The patient reported complete pain relief since her surgery. She had no recurrence to date. Conclusion Osteoid osteoma should be in the differential diagnosis list of chronic wrist pain/arthritis. In this case, careful attention is necessary for patients unresponsive to treatment with long-lasting symptoms. If radiographs are inconclusive, CT or MRI should be considered to better visualize the nidus of osteoid osteoma in the small bones of the hand.

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Osteoid Osteoma of the Trapezium: Case Report of an Unusual Tumor Location Presenting a Diagnostic Challenge

Cited by 3 publications

References 9 publications

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

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

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

P091 Osteoid osteoma of the trapezoid bone: a diagnostic pitfall of a wrist chronic monoarthritis

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