Osteoid osteomas are typically benign osteoblastic bone tumors. Patients often present
in their twenties with progressively increasing pain that is worse at night and relieved
with nonsteroidal anti-inflammatory drugs. These lesions rarely occur in the hand
or wrist; however, when those are involved, the proximal phalanx is the most common
location and the index finger is the most commonly affected digit. Lesions affecting
the distal phalanges are least likely to occur and the thumb is least likely to be
affected. Osteoid osteomas of the distal phalanges can cause great diagnostic challenges.
They often present with atypical radiographic and physical examination findings. Although
rare, osteoid osteomas of the distal phalanx can be a major cause of digit enlargement
and pain. In a patient with a painful and/or swollen digit, the diagnosis should be
considered.
Key words
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Article info
Publication history
Published online: January 29, 2019
Accepted:
December 19,
2018
Received:
August 8,
2018
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2019 by the American Society for Surgery of the Hand. All rights reserved.
