Triquetral Osteoid Osteoma: A Diagnostic Dilemma
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. Cas...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Tehran University of Medical Sciences
2020-05-01
|
Series: | Journal of Orthopedic and Spine Trauma |
Subjects: | |
Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/118 |
id |
doaj-cce86c6bf60a4609979e19d0bc6bca07 |
---|---|
record_format |
Article |
spelling |
doaj-cce86c6bf60a4609979e19d0bc6bca072021-07-28T07:06:21ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002020-05-014210.18502/jost.v4i2.2963Triquetral Osteoid Osteoma: A Diagnostic DilemmaMahmoud Farzan0Amirreza Farhoud1Mohammad Zarei2Furqan Mohammed Yaseen Khan3Mohammad Javad Dehghani Firoozabadi4Professor,Orthopedic Surgeon, Department of Orthopedic Surgery, ImamKhomeini Hospital Complex, Tehran University ofMedical Sciences, Tehran, IranAssistant Professor, Orthopedic Surgeon, Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranAssistant Professor, Orthopedic Surgeon, Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranResident, Orthopedic Surgeon, Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranResident, Orthopedic Surgeon, Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran 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. https://jost.tums.ac.ir/index.php/jost/article/view/118Osteoid osteomaBone tumorDiagnosisCarpal bonesTriquetrum Bone |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mahmoud Farzan Amirreza Farhoud Mohammad Zarei Furqan Mohammed Yaseen Khan Mohammad Javad Dehghani Firoozabadi |
spellingShingle |
Mahmoud Farzan Amirreza Farhoud Mohammad Zarei Furqan Mohammed Yaseen Khan Mohammad Javad Dehghani Firoozabadi Triquetral Osteoid Osteoma: A Diagnostic Dilemma Journal of Orthopedic and Spine Trauma Osteoid osteoma Bone tumor Diagnosis Carpal bones Triquetrum Bone |
author_facet |
Mahmoud Farzan Amirreza Farhoud Mohammad Zarei Furqan Mohammed Yaseen Khan Mohammad Javad Dehghani Firoozabadi |
author_sort |
Mahmoud Farzan |
title |
Triquetral Osteoid Osteoma: A Diagnostic Dilemma |
title_short |
Triquetral Osteoid Osteoma: A Diagnostic Dilemma |
title_full |
Triquetral Osteoid Osteoma: A Diagnostic Dilemma |
title_fullStr |
Triquetral Osteoid Osteoma: A Diagnostic Dilemma |
title_full_unstemmed |
Triquetral Osteoid Osteoma: A Diagnostic Dilemma |
title_sort |
triquetral osteoid osteoma: a diagnostic dilemma |
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 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.
|
topic |
Osteoid osteoma Bone tumor Diagnosis Carpal bones Triquetrum Bone |
url |
https://jost.tums.ac.ir/index.php/jost/article/view/118 |
work_keys_str_mv |
AT mahmoudfarzan triquetralosteoidosteomaadiagnosticdilemma AT amirrezafarhoud triquetralosteoidosteomaadiagnosticdilemma AT mohammadzarei triquetralosteoidosteomaadiagnosticdilemma AT furqanmohammedyaseenkhan triquetralosteoidosteomaadiagnosticdilemma AT mohammadjavaddehghanifiroozabadi triquetralosteoidosteomaadiagnosticdilemma |
_version_ |
1721278964010319872 |