Research Article| Volume 1, ISSUE 4, P267-274, November 2001

Osteoid osteoma of the wrist and hand

  • Luc De Smet
    Address reprint requests to L. De Smet, Department of Orthopaedic Surgery, University Hospital Pellenberg, Weligerveld, 1, B-3212 Lubbeek (Pellenberg), Belgium
    Hand Unit, Department of Orthopaedic Surgery, University Hospital Pellenberg, Leuven, Belgium
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      Osteoid osteoma is a relatively rare bone tumor, but it has both a typical pain symptom complex and histology. Bone scintigraphy is nearly always positive. Radiographs show a relatively radiolucent ″nidus” in a sclerotic area. Computed tomographic scans are valuable, and sometimes necessary, in showing this typical nidus. Magnetic resonance imaging has limited indications. Localizations outside the knee, hip, and spine region are rare. When osteoid osteoma presents in the hand and wrist, the diagnosis is not always obvious. Pain is commonly-although not universally-present, and radiographs can be normal in one third of cases, or atypically alternated in another third. Intraoperative localization is not always obvious. Preoperative bone labeling with tetracycline may aid in localization. The treatment consists of resection and curettage, with generally favorable outcomes. Copyright © 2000 by American Society for Surgery of the Hand
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