Triquetral Osteoid Osteoma: A Diagnostic Dilemma

• Main Authors: Mahmoud Farzan, Amirreza Farhoud, Mohammad Zarei, Furqan Mohammed Yaseen Khan, Mohammad Javad Dehghani Firoozabadi
• Format: Article
• Language: English
• Published: Tehran University of Medical Sciences 2020-05-01
• Series: Journal of Orthopedic and Spine Trauma
• Subjects: Osteoid osteoma; Bone tumor; Diagnosis; Carpal bones; Triquetrum Bone
• Online Access: https://jost.tums.ac.ir/index.php/jost/article/view/118
• ISSN: 2538-2330; 2538-4600

Background: Osteoid osteoma (OO) is a benign osteoblastic neoplasm, mostly occurring in long bones of lower extremity. Its manifestation in unusual locations can be a diagnostic challenge and distressing for patients. OO in carpal bones is uncommon; its occurrence in triquetrum is even more so. Case Presentation: This study reports on a nineteen-year-old female with history of wrist pain for 4 years. She had sustained trauma to the same wrist before commencing of pain. Patient's pain was unresponsive to conservative treatments. Her routine x-rays were mostly interpreted as normal and obtaining further imaging helped us in diagnosis of OO of triquetrum. Surgical resection of the nidus was performed. Conclusions: Manifestation of OO in small carpal bones may not be typical; identifying the lesion or nidus could be challenging. Whatever unusual the location or presentation of such lesions may be, obtaining advanced imaging can be of significant help; therefore, we suggest clinicians to have low threshold in ordering advanced imaging specifically in patients suffering from chronic pain. Also, persistent history of nocturnal pain is a sign which is worth attention.