Osteoid Osteoma of the Triquetrum: a Case of Four-Year Delay in Diagnosis

HSS Journal: Volume 10, Issue 2

Samuel A. Taylor, MD

Hospital for Special Surgery

Samir K. Trehan, MD

Hospital for Special surgery

Keith M. Crivello, MD

Mercer-Bucks Orthopaedics, New Jersey

Robert Schneider, MD
Robert Schneider, MD

Radiation Safety Officer, Hospital for Special Surgery
Attending Radiologist, Hospital for Special Surgery

Scott W. Wolfe, MD
Scott W. Wolfe, MD

Chief Emeritus, Hand and Upper Extremity Service, Hospital for Special Surgery
Director, Center for Brachial Plexus and Traumatic Nerve Injury

Excerpt from the Content

Osteoid osteoma is a painful, benign bony tumor affecting a predominantly young patient population, with 60% occurring between ages 10 and 20 years old and a male predominance. Nocturnal and rest pain are hallmarks. Symptoms vary from a mild ache to severe debilitating pain in response to excessive prostaglandin production. As such, the pain is classically responsive to aspirin due to its anti-prostaglandin effect. Localized swelling and tenderness may be present on examination. Radiographically, osteoid osteoma is traditionally described as a 1–2-cm radiolucent lesion with a sclerotic border and central nidus consisting of vascular osteoid with focal mineralization. Imaging modalities including radiographs, bone scan, CT, and MRI can be helpful in the diagnosis of osteoid osteoma.

This article appears in HSS Journal: Volume 10, Issue 2.
View the full article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.

 

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