J Korean Bone Joint Tumor Soc.  2014 Dec;20(2):94-98. 10.5292/jkbjts.2014.20.2.94.

Osteoid Osteoma in Wrist: A Case Report

Affiliations
  • 1Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. uuhosksw@hanmail.net

Abstract

Osteoid osteoma can occur in all parts of the skeletal system. More than half occur in lower extremity and rare in wrist.Clinically pain is almost the only symptom worse at night and which is characterized by a rapid improvement by NSAID. We report the cases of osteoid osteoma which shows the characteristic symptoms and got a good results with appropriate imaging work up and surgical treatment.

Keyword

osteoid osteoma; wrist

MeSH Terms

Lower Extremity
Osteoma, Osteoid*
Wrist*

Figure

  • Figure 1. A ill-defined sclerotic lesion with mild periosteal reaction at medial aspect of metaphysis of distal radius.

  • Figure 2. Osteolytic lesion (0.3 cm) with peripheral sclerosis and cortical thickening in distal metaphysis of radius.

  • Figure 3. Non-specfic finding on wrist AP x-ray (case 2).

  • Figure 4. CT shows about 4×4 cm small subcortical lesion of the lunate.

  • Figure 5. MRI shows small lbone lesion of the lunate.

  • Figure 6. Inbonescanfocal increased-delayed uptake in left carpal-area.

  • Figure 7. Microscopic finding with H&E stain; Well developed fibrovascular stroma, woven bone with interconnected trabeculae. (A) ×40, (B) ×200, (C) ×400.


Reference

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