The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand-A Case Series
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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.
In: DIAGNOSTICS, Vol. 13, No. 7, 1279, 28.03.2023.Research output: SCORING: Contribution to journal › Case report › Research › peer-review
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TY - JOUR
T1 - The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand-A Case Series
AU - Meyer, Jasmin
AU - Priemel, Matthias
AU - Rolvien, Tim
AU - Frosch, Karl-Heinz
AU - Schlickewei, Carsten
AU - Yarar-Schlickewei, Sinef
N1 - Case Report
PY - 2023/3/28
Y1 - 2023/3/28
N2 - 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.
AB - 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.
U2 - 10.3390/diagnostics13071279
DO - 10.3390/diagnostics13071279
M3 - Case report
C2 - 37046495
VL - 13
JO - DIAGNOSTICS
JF - DIAGNOSTICS
SN - 2075-4418
IS - 7
M1 - 1279
ER -