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The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand—A Case Series

Osteoid osteoma (OO) is a benign bone tumor that rarely occurs in the bones of the hand. Due to the comparatively non-specific symptoms when occurring in the hand, OO is often misdiagnosed at first presentation, posing a diagnostic challenge. In the present case study, six cases of phalangeal and ca...

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Autores principales: Meyer, Jasmin, Priemel, Matthias, Rolvien, Tim, Frosch, Karl-Heinz, Schlickewei, Carsten, Yarar-Schlickewei, Sinef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093072/
https://www.ncbi.nlm.nih.gov/pubmed/37046495
http://dx.doi.org/10.3390/diagnostics13071279
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author Meyer, Jasmin
Priemel, Matthias
Rolvien, Tim
Frosch, Karl-Heinz
Schlickewei, Carsten
Yarar-Schlickewei, Sinef
author_facet Meyer, Jasmin
Priemel, Matthias
Rolvien, Tim
Frosch, Karl-Heinz
Schlickewei, Carsten
Yarar-Schlickewei, Sinef
author_sort Meyer, Jasmin
collection PubMed
description Osteoid osteoma (OO) is a benign bone tumor that rarely occurs in the bones of the hand. Due to the comparatively non-specific symptoms when occurring in the hand, OO is often misdiagnosed at first presentation, posing a diagnostic challenge. In the present case study, six cases of phalangeal and carpal OO, treated surgically at our department between 2006 and 2020, were retrospectively reviewed. We compared all cases regarding demographic data, clinical presentation, imaging findings, time to diagnosis, surgical treatment, and clinical outcome in follow-up examinations. When OO occurs in the bones of the hand, it can lead to swelling and deformities, such as enlargement of the affected bone and nail hypertrophy. Initial misdiagnoses such as primary bone tumors other than OO, tendinitis, osteomyelitis, or arthritis are common. Most of the presented cases showed a prolonged time until diagnosis, whereby the primarily performed imaging modality was often not sensitive. CT proved to be the most sensitive sectional imaging modality for diagnosing OO. With adequate surgical treatment, complications and recurrence are rare.
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spelling pubmed-100930722023-04-13 The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand—A Case Series Meyer, Jasmin Priemel, Matthias Rolvien, Tim Frosch, Karl-Heinz Schlickewei, Carsten Yarar-Schlickewei, Sinef Diagnostics (Basel) Case Report Osteoid osteoma (OO) is a benign bone tumor that rarely occurs in the bones of the hand. Due to the comparatively non-specific symptoms when occurring in the hand, OO is often misdiagnosed at first presentation, posing a diagnostic challenge. In the present case study, six cases of phalangeal and carpal OO, treated surgically at our department between 2006 and 2020, were retrospectively reviewed. We compared all cases regarding demographic data, clinical presentation, imaging findings, time to diagnosis, surgical treatment, and clinical outcome in follow-up examinations. When OO occurs in the bones of the hand, it can lead to swelling and deformities, such as enlargement of the affected bone and nail hypertrophy. Initial misdiagnoses such as primary bone tumors other than OO, tendinitis, osteomyelitis, or arthritis are common. Most of the presented cases showed a prolonged time until diagnosis, whereby the primarily performed imaging modality was often not sensitive. CT proved to be the most sensitive sectional imaging modality for diagnosing OO. With adequate surgical treatment, complications and recurrence are rare. MDPI 2023-03-28 /pmc/articles/PMC10093072/ /pubmed/37046495 http://dx.doi.org/10.3390/diagnostics13071279 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Meyer, Jasmin
Priemel, Matthias
Rolvien, Tim
Frosch, Karl-Heinz
Schlickewei, Carsten
Yarar-Schlickewei, Sinef
The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand—A Case Series
title The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand—A Case Series
title_full The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand—A Case Series
title_fullStr The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand—A Case Series
title_full_unstemmed The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand—A Case Series
title_short The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand—A Case Series
title_sort diagnostic challenge of osteoid osteoma in the bones of the hand—a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093072/
https://www.ncbi.nlm.nih.gov/pubmed/37046495
http://dx.doi.org/10.3390/diagnostics13071279
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