Osteosarcoma of the Trapezium

Ferrando, Emilio; Navarro, J.E. Aroca; Rojas, Rubén; Mata, Daniel; Silvestre, Antonio

doi:10.1016/j.jhsa.2020.10.011

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…108 An osteosarcoma centered in the trapezoid, but with surrounding carpal involvement, demanded trapeziectomy and partial excision of the first metacarpal, scaphoid, trapezoid, and capitate bones and had no recurrence at the 6year follow-up with adequate hand function. 109 Acute trapezium fracture management classically involves ORIF or closed reduction and pinning with Kirschner wires, though there is some role for trapeziectomy in specific patient populations. 110 Low-demand patients with acute trapezium fractures and accompanying first CMC arthritis who do not want or would not tolerate the extra recovery that ORIF requires can undergo a simple trapeziectomy and retain acceptable hand function and strength.…”

Section: Trapeziummentioning

confidence: 99%

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Isolated Osseous Excision in the Adult Carpus: A Narrative Review

Dolan,

Shiver,

Wallace

et al. 2024

Journal of Hand and Microsurgery

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Various pathologies of the adult carpus result in clinical scenarios where excision can be considered and even recommended. In the appropriate patient population, isolated carpal excision can alleviate pain and improve mobility. Excisions of the pisiform, trapezium, and trapezoid have abundant literature evidence to support positive long-term functional outcomes. In contrast, isolated excision of the capitate, hamate, and triquetrum has limited support in the literature secondary to compromise of carpal mechanics and lead to recurrent pain. Additionally, isolated scaphoid and lunate excision are best avoided secondary to carpal collapse and should be paired with concomitant stabilizing procedures in the carpus. This article provides a comprehensive literature review of isolated excision of each osseous carpal bone, their indications, and previously assessed outcomes.

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Section: Trapeziummentioning

confidence: 99%

Section: Trapeziummentioning

confidence: 99%

Isolated Osseous Excision in the Adult Carpus: A Narrative Review

Dolan,

Shiver,

Wallace

et al. 2024

Journal of Hand and Microsurgery

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“…All tumor types in the benign category had a mean age of <50 years and had instances of presenting in patients <18 years of age with except for intraosseous lipoma which had a mean age of 55 years (47-63 years). In the metastatic disease category, there were only four (24% of metastatic category) patients who were aged <50 years (ages of 25,43,46,47) who presented with metastatic disease from melanoma (n ¼ 2), from osteogenic sarcoma (n ¼ 1), or from lung carcinoma (n ¼ 2). No metastatic cases were present in patients <18 years of age.…”

Section: Patient Demographicsmentioning

confidence: 99%

Distribution and Characteristics of Carpal Bone Tumors: A Systematic Review

et al. 2023

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Background Carpal bone tumors are rare in the literature, making it difficult to identify their clinical presentation. Purpose This systematic review analyzes the characteristics of published carpal bone tumor cases to identify the most frequent patterns in diagnoses. Attention is paid to the carpal bone involved and type, and patient demographics was performed to summarize published findings. Methods A systematic review was searched on PubMed, Ovid, and Cochrane databases gathering literature on carpal bone tumors. After applying specific criteria, final analysis of the literature yielded 151 patients with 156 carpal bone neoplasms. Results The most common carpal bones involved were the scaphoid (48, 31%), capitate (31, 20%), and hamate (24, 15%). Benign tumors represented the largest majority (133, 85%), followed by metastatic (17, 11%) and primary malignant (7, 5%). The most frequent tumor types were osteoid osteoma (37, 24%), osteoblastoma or giant cell tumor (24, 15%), intraosseous ganglia (21, 13%), and chondroblastoma (14, 9%). Within the metastatic category, most tumors derived from lung carcinoma (10, 59%), followed by renal cell carcinoma (2, 12%). There were three types within the malignant category: chondrosarcoma (3, 43%), hemangioendothelial sarcoma (3, 43%), and osteosarcoma (1, 14%). Conclusion The most frequent carpal bones observed were the scaphoid, capitate, and hamate. Most tumors were benign. The most common tumor types were osteoid osteoma, osteoblastoma, and giant cell tumor. Metastatic carpal tumors were most commonly from lung carcinoma. Chondrosarcoma and hemangioendothelial sarcoma were the most common primary malignancies.

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