Abstract
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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References
References
- Osteoid osteoma of the hand and wrist.J Hand Surg [Am]. 1987; 12A: 794-800
- L'ostÉome osteoïde au niveau de la main.Ann Chir Main. 1988; 7: 298-304
- Osteoid osteoma of the upper extremity.J Hand Surg [Am]. 1993; 18A: 1019-1028
- Osteoid osteoma of the upper extremity.Hand Clin. 1995; 11: 211-221
- Osteoid osteoma of the hand.J Hand Surg [Am]. 1985; 10A: 408-410
- Osteoid osteoma of the distal radial epiphysis.Clin Orthop. 1977; 126: 160-161
- L'ostÉome ostÉoide de l'extrÉmitÉ distale du radius.Ann Chir Main. 1991; 10: 146-147
- Clubbing of a single digit: an unusual cause.Clin Rheumatol. 1996; 15: 310-311
- Osteoid osteoma of the hand and carpus: peculiar prescutations and imaging.Acta Orthop Belg. 1995; 61: 113-116
- Synovitis of the wrist caused by an intra-articular perforation of an osteoid osteoma of the radial styloid.Clin Rheumatol. 2000; 19: 229-230
- Osteoid osteoma of the radial styloid mimicking stenosing tenosynovitis.J Hand Surg [Br]. 1992; 17B: 236-238
- L'ostÉome osteoid du grand os.Rev Chir Orthop. 1993; 79: 591-593
- Osteoid osteoma of the radius.Clin Orthop. 1975; 106: 189-191
- Osteoid osteoma of the carpal bones.J Hand Surg. 1978; 3: 280-283
- Painless osteoid osteoma of the finger in a child.Ann Chir Main. 1998; 17: 143-146
- Painless osteoid osteoma in a phalanx of the finger.Bull Hosp Joint Dis. 1975; 39: 56-91
- Painless osteoid osteoma.J Bone Joint Surg Am. 1979; 52A: 1357-1363
- L'ostÉome ostÉoïde indolore (ou primitivement indolore). A propos de deux cas phalangiens. Revue de la littÉrature.Am Radiol. 1985; 6: 475-479
- Painless osteoid osteoma of the rib in an adult.Cancer. 1996; 77: 1442-1449
- Painless osteoid osteoma of the phalanx.Orthopaedics. 1989; 12: 774-776
- Painless osteoid osteoma of the fingers. Report of three cases.J Hand Surg. 1983; 8: 914-917
- Osteoid osteoma of the terminal phalanges.Hand. 1977; 9: 295-300
- Osteoid osteoma of the distal phalanx.Orthopaedics. 1999; 22: 1093-1094
- Osteoid osteoma: Detection, diagnosis and localization.Radiology. 1979; 130: 117-123
- An unusual localization and presentation of an osteoid osteoma.Acta Orthop. 1997; 63: 128-131
- Reactive soft tissue mass associated with osteoid osteoma: Correlation of MR imaging features with pathological findings.Radiology. 1993; 186: 221-225
- Osteoid osteoma and osteoblastoma.Clin Orthop. 1977; 128: 303-313
Article info
Publication history
1531-0914/01/0104-0006$35.00/0
Identification
Copyright
© 2001 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.