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Resection of a Rare Metacarpal Distal Condyle Osteoid Osteoma

INTRODUCTION: Osteoid osteoma is a benign bone-forming tumor with young male predilection. It occurs predominantly in the long bones. In the hand, osteoid osteoma is more commonly located in the phalanges and carpal bones. The metacarpals are the least common site for osteoid osteoma. Pain is the mo...

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Autores principales: El Fatayri, Bachar, Djebara, Az-Eddine, Fourdrain, Alex, Bulaid, Yassine, Sanguina, Mario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556241/
https://www.ncbi.nlm.nih.gov/pubmed/31263611
http://dx.doi.org/10.1155/2019/4542862
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author El Fatayri, Bachar
Djebara, Az-Eddine
Fourdrain, Alex
Bulaid, Yassine
Sanguina, Mario
author_facet El Fatayri, Bachar
Djebara, Az-Eddine
Fourdrain, Alex
Bulaid, Yassine
Sanguina, Mario
author_sort El Fatayri, Bachar
collection PubMed
description INTRODUCTION: Osteoid osteoma is a benign bone-forming tumor with young male predilection. It occurs predominantly in the long bones. In the hand, osteoid osteoma is more commonly located in the phalanges and carpal bones. The metacarpals are the least common site for osteoid osteoma. Pain is the most common symptom. It usually increases at night and responds to nonsteroidal anti-inflammatory drugs. CASE PRESENTATION: The authors report the excision of an osteoid osteoma lying at the distal condyle of a metacarpal bone of the left hand. The clinical and radiological findings are exposed as well as the surgical management of the lesion. Pain and swelling disappeared after surgery, and there was no evidence of recurrence at follow-up. DISCUSSION: They discuss this rare location and further radiological examination that was used leading to the diagnosis. The imputation of the traumatic factor has been discussed, along with the different therapeutic possibilities and the advantages of a total excision while preserving the integrity of the adjacent ligament and joint space. CONCLUSION: The surgical alternative appears to be a satisfying treatment for osteoid osteoma in this particular superficial location. Both the exact pathogenesis and the contribution of the traumatic factor remain unclear.
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spelling pubmed-65562412019-07-01 Resection of a Rare Metacarpal Distal Condyle Osteoid Osteoma El Fatayri, Bachar Djebara, Az-Eddine Fourdrain, Alex Bulaid, Yassine Sanguina, Mario Case Rep Orthop Case Report INTRODUCTION: Osteoid osteoma is a benign bone-forming tumor with young male predilection. It occurs predominantly in the long bones. In the hand, osteoid osteoma is more commonly located in the phalanges and carpal bones. The metacarpals are the least common site for osteoid osteoma. Pain is the most common symptom. It usually increases at night and responds to nonsteroidal anti-inflammatory drugs. CASE PRESENTATION: The authors report the excision of an osteoid osteoma lying at the distal condyle of a metacarpal bone of the left hand. The clinical and radiological findings are exposed as well as the surgical management of the lesion. Pain and swelling disappeared after surgery, and there was no evidence of recurrence at follow-up. DISCUSSION: They discuss this rare location and further radiological examination that was used leading to the diagnosis. The imputation of the traumatic factor has been discussed, along with the different therapeutic possibilities and the advantages of a total excision while preserving the integrity of the adjacent ligament and joint space. CONCLUSION: The surgical alternative appears to be a satisfying treatment for osteoid osteoma in this particular superficial location. Both the exact pathogenesis and the contribution of the traumatic factor remain unclear. Hindawi 2019-05-26 /pmc/articles/PMC6556241/ /pubmed/31263611 http://dx.doi.org/10.1155/2019/4542862 Text en Copyright © 2019 Bachar El Fatayri et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
El Fatayri, Bachar
Djebara, Az-Eddine
Fourdrain, Alex
Bulaid, Yassine
Sanguina, Mario
Resection of a Rare Metacarpal Distal Condyle Osteoid Osteoma
title Resection of a Rare Metacarpal Distal Condyle Osteoid Osteoma
title_full Resection of a Rare Metacarpal Distal Condyle Osteoid Osteoma
title_fullStr Resection of a Rare Metacarpal Distal Condyle Osteoid Osteoma
title_full_unstemmed Resection of a Rare Metacarpal Distal Condyle Osteoid Osteoma
title_short Resection of a Rare Metacarpal Distal Condyle Osteoid Osteoma
title_sort resection of a rare metacarpal distal condyle osteoid osteoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556241/
https://www.ncbi.nlm.nih.gov/pubmed/31263611
http://dx.doi.org/10.1155/2019/4542862
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