A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain
Background: Osteoid osteoma (OO) is a benign tumor that rarely occurs in carpal bones. The occurrence of OO in trapezoid is extremely rare. We present a patient with OO of the trapezoid as 7th reported case around the world. Case Presentation: A 25-year-old man was referred to our clinic with a 12-...
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Tehran University of Medical Sciences
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doaj-88f4fb111a304c158f3924031e34db722021-07-28T07:06:05ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002020-05-014410.18502/jost.v4i4.3101A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist PainMohammad Nejadhosseinian0Amir Reza Farhoud1Mohammad Javad Dehghani FiroozAbadi2SM Javad Mortazavi3Resident,Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranAssistant Professor, Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranResident,Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranProfessor, Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Background: Osteoid osteoma (OO) is a benign tumor that rarely occurs in carpal bones. The occurrence of OO in trapezoid is extremely rare. We present a patient with OO of the trapezoid as 7th reported case around the world. Case Presentation: A 25-year-old man was referred to our clinic with a 12-month history of pain of his left wrist. He mentioned that he had wrist pain during manual activity and the pain was increasing over time. He did not have a history of trauma. He was treated with nonsteroidal anti-inflammatory drugs (NSAIDs) before being referred to our clinic; however, it did not work. Examination showed tenderness over the dorsoradial side of the left wrist. Conventional radiographs of the wrist were normal. Computed tomography (CT) demonstrated a halo radiolucent osteoid tissue surrounded by sclerotic tissue in the left trapezoid. Magnetic resonance imaging (MRI) showed a focal hypointense lesion (nidus) in the trapezoid with a 10 mm diameter. Focal increased uptake of 99mTc in his trapezoid was shown by bone scintigraphy. According to the clinical and imaging findings, we considered excisional biopsy with the diagnosis of trapezoid bone. Surgery was performed through a dorsal incision. We performed en bloc excision. Histopathological findings confirmed the diagnosis of OO. The patient got pain-free on postoperative day 3. Conclusions: Carpal bones tumor such as OO should be considered in differential diagnosis of patients with chronic wrist pain. https://jost.tums.ac.ir/index.php/jost/article/view/119Osteoid Osteoma; Wrist; TumorsAcromion |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohammad Nejadhosseinian Amir Reza Farhoud Mohammad Javad Dehghani FiroozAbadi SM Javad Mortazavi |
spellingShingle |
Mohammad Nejadhosseinian Amir Reza Farhoud Mohammad Javad Dehghani FiroozAbadi SM Javad Mortazavi A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain Journal of Orthopedic and Spine Trauma Osteoid Osteoma; Wrist; Tumors Acromion |
author_facet |
Mohammad Nejadhosseinian Amir Reza Farhoud Mohammad Javad Dehghani FiroozAbadi SM Javad Mortazavi |
author_sort |
Mohammad Nejadhosseinian |
title |
A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain |
title_short |
A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain |
title_full |
A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain |
title_fullStr |
A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain |
title_full_unstemmed |
A Rare Tumor of the Trapezoid Bone in a Patient with Chronic Wrist Pain |
title_sort |
rare tumor of the trapezoid bone in a patient with chronic wrist pain |
publisher |
Tehran University of Medical Sciences |
series |
Journal of Orthopedic and Spine Trauma |
issn |
2538-2330 2538-4600 |
publishDate |
2020-05-01 |
description |
Background: Osteoid osteoma (OO) is a benign tumor that rarely occurs in carpal bones. The occurrence of OO in trapezoid is extremely rare. We present a patient with OO of the trapezoid as 7th reported case around the world.
Case Presentation: A 25-year-old man was referred to our clinic with a 12-month history of pain of his left wrist. He mentioned that he had wrist pain during manual activity and the pain was increasing over time. He did not have a history of trauma. He was treated with nonsteroidal anti-inflammatory drugs (NSAIDs) before being referred to our clinic; however, it did not work. Examination showed tenderness over the dorsoradial side of the left wrist. Conventional radiographs of the wrist were normal. Computed tomography (CT) demonstrated a halo radiolucent osteoid tissue surrounded by sclerotic tissue in the left trapezoid. Magnetic resonance imaging (MRI) showed a focal hypointense lesion (nidus) in the trapezoid with a 10 mm diameter. Focal increased uptake of 99mTc in his trapezoid was shown by bone scintigraphy. According to the clinical and imaging findings, we considered excisional biopsy with the diagnosis of trapezoid bone. Surgery was performed through a dorsal incision. We performed en bloc excision. Histopathological findings confirmed the diagnosis of OO. The patient got pain-free on postoperative day 3.
Conclusions: Carpal bones tumor such as OO should be considered in differential diagnosis of patients with chronic wrist pain.
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topic |
Osteoid Osteoma; Wrist; Tumors Acromion |
url |
https://jost.tums.ac.ir/index.php/jost/article/view/119 |
work_keys_str_mv |
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