Phalanx osteoid osteoma. Five-case report and literature review
Article Sidebar
Published:
Nov 18, 2020
Keywords:
Osteoid osteoma, phalanx, finger, chronic pain, swelling
Main Article Content
Abstract
Introduction: Osteoid osteomas are rarely found in the phalanges. The purpose of this study is to report 5 cases with histologic diagnosis of phalanx osteoid osteoma and highlight the most important aspects of its diagnosis and treatment. Materials and Methods: A descriptive, retrospective study was conducted. Evaluation included pain level using the visual analog scale (VAS), active range of motion, and QuickDASH score before surgery and at final follow-up (mean, 35.4 months). Results: The mean time from first consultation to diagnosis was 10.6 months (range, 5-16 months). The mean preoperative QuickDASH score was 22.72 (range, 6.8-40.9). At last follow-up (mean, 35.4 months; range, 17-63), all patients were satisfied with the outcome. The mean VAS score for pain was 0. The mean QuickDASH score was 0. Conclusions: Osteoid osteoma should be considered in the differential diagnosis when patients complain of subacute or chronic digital pain that improves with NSAIDs. Surgical treatment by simple curettage or en bloc resection shows satisfactory results. However, due to its low prevalence, osteoid osteoma is commonly underdiagnosed resulting in diagnosis and treatment delays.
Key words: Osteoid osteoma; phalanx; finger; chronic pain; swelling.
Level of Evidence: IV
Key words: Osteoid osteoma; phalanx; finger; chronic pain; swelling.
Level of Evidence: IV
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Argüelles, S., Ferrari, F. G., Reinares, F., Pereira, E., & Zaidenberg, C. R. (2020). Phalanx osteoid osteoma. Five-case report and literature review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(4), 335-348. https://doi.org/10.15417/issn.1852-7434.2020.85.4.1064
Issue
Section
Clinical Research
Copyright (c) 2020 Revista de la Asociación Argentina de Ortopedia y Traumatología
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
References
1. Jaffe HL. “Osteoid-osteoma”: A benign osteoblastic tumor composed of osteoid and atypical bone. Arch Surg
1935;31(5):709-28. https://doi.org/10.1001/archsurg.1935.01180170034003
2. Gitelis S, Schajowicz F. Osteoid osteoma and osteoblastoma. Orthop Clin North Am 1989;20(3):313-25.
PMID: 2662110
3. Marcuzzi A, Acciaro AL, Landi A. Osteoid osteoma of the hand and wrist. J Hand Surg Br 2002;27(5):440-3.
https://doi.org/10.1054/jhsb.2002.0811
4. Ambrosia JM, Wold LE, Amadio PC. Osteoid osteoma of the hand and wrist. J Hand Surg Am 1987;12:794-800.
https://doi.org/10.1016/S0363-5023(87)80072-2
5. Burger IM, McCarthy EF. Phalangeal osteoid osteomas in the hand: a diagnostic problem. Clin Orthop Relat Res 2004;(427):198-203. https://doi.org/0.1097/01.blo.0000142623.97901.39
6. Bednar MS, McCormack RR, Glasser D, Weiland AJ. Osteoid osteoma of the upper extremity. J Hand Surg Am
1993;18(6):1019-25. https://doi.org/10.1016/0363-5023(93)90395-J
7. Georgiev GP, Slavchev SA, Dimitrova IN. Osteoid osteoma of the middle phalanx of the third finger in a child
mimicking a malignancy. Folia Medica 2018;60(2):314-17. https://doi.org/10.1515/folmed-2017-0085
8. Giannikas A, Papachristou G, Tiniakos G, Chrysafidis G, Hartofilakidis-Garofalidis G. Osteoid osteoma of the
terminal phalanges. Hand 1977;9(3):295-300. https://doi.org/10.1016/S0072-968X(77)80120-4
9. Forriol Brocal F, Martin V, Grasa Muro JL. Osteoma osteoide en falange de la mano. Rev Esp Cir Osteoart
1998;33:83-86. http://hdl.handle.net/10550/39954
10. Soler JM, Pizà G, Aliaga F. Special characteristics of osteoid osteoma in the proximal phalanx. J Hand Surg Br
1997;22:793-7. https://doi.org/10.1016/S0266-7681(97)80451-2
11. Andalib A, Sajadie-Khajouei S. Osteoid osteoma of distal phalanx: A rare disorder and review of literature. J Res Med Sci 2013;18(3):264-6. PMID: 23930128
12. Nakatsuchi Y, Sugimoto Y, Nakano M. Osteoid osteoma of the terminal phalanx. J Hand Surg Br 1984;9(2):201-3. https://doi.org/10.1016/S0266-7681(84)80032-7
13. Esquerdo J, Fernandez CF, Gomar F. Pain in osteoid osteoma: histological facts. Acta Orthop Scand
1976;47(5):520-4. https://doi.org/10.3109/17453677608988731
14. Foucher G, Lemarechal P, Citron N, Merle M. Osteoid osteoma of the distal phalanx: a report of four cases and review of the literature. J Hand Surg Br 1987;12(3):382-6. https://doi.org/10.1016/0266-7681_87_90194-X
15. Rosborough D. Osteoid osteoma: report of a lesion in the terminal phalanx of a finger. J Bone Joint Surg Br
1966;48(3):485-7. PMID: 5913139
16. Bowen C, Dzus A, Hardy D. Osteoid osteomata of the distal phalanx. J Hand Surg Br 1987;12.3:387-90.
https://doi.org/10.1016/0266-7681_87_90195-1
17. Levy Y, Rosenheck S, Greiff G. Osteoid osteoma of the distal phalanx of the thumb. Acta Orthop Scand
1979;50(6):667-9. https://doi.org/10.3109/17453677908991290
18. Meng Q, Watt I. Phalangeal osteoid osteoma. Br J Radiol1989;62(736):321-5.
https://doi.org/10.1259/0007-1285-62-736-321
19. Edeiken J, De Palma A, Hodes P. Osteoid osteoma. (Roentgenographic emphasis). Clin Orthop Relat Res
1966;49:201-6. PMID: 5962620
20. Barbari K, Prutki M, Starevi D, Seiwerths S, Bojani I. Rare localization of osteoid osteoma - Distal phalanx of the ring finger. Acta Med Croatica 2016;70(3):191-5. https://hrcak.srce.hr/174749
21. Assoun J, Richardi G, Railhac J, Baunin C, Fajadet P, Giron J, et al. Osteoid osteoma: MR imaging versus CT.
Radiology 1994;191(1):217-23. https://doi.org/10.1148/radiology.191.1.8134575
22. Zampa V, Bargellini I, Ortori S, Faggioni L, Cioni R, Bartolozziet C. Osteoid osteoma in atypical locations: the
added value of dynamic gadolinium-enhanced. MR imaging. Eur J Radiol 2009;71(3):527-35.
https://doi.org/10.1016/j.ejrad.2008.05.010
23. Melamud K, Drapé, JL, Hayashi D, Roemer F, Zentner J, Guermazi A. Diagnostic imaging of benign and malignant osseous tumors of the fingers. Radiographics 2014;34(7):1954-67. https://doi.org/10.1148/rg.347130031
24. Spouge A, Thain L. Osteoid osteoma: MR imaging revisited. Clin Imaging 2000;24(1):19-27.
https://doi.org/10.1016/S0899-7071(00)00157-1
25. Matiets M. Osteoid osteoma. The role of bone scans in diagnosis and surgery. J Nucl Med Technol 1986;14(3):138-42. http://tech.snmjournals.org/content/14/3/138.abstract
26. Helms C. Osteoid osteoma. The double density sign. Clin Orthop Relat Res 1987;(222):167-73. PMID: 3621716
27. Doyle L, Ruby L, Nalebuff E, Belsky M. Osteoid osteoma of the hand. J Hand Surg Am1985;10:408-10.
https://doi.org/10.1016/S0363-5023(85)80045-9
28. Crosby LA, Murphy RP. Subperiosteal osteoid osteoma of the distal phalanx of the thumb. J Hand Surg Am
1988;13(6):923-25. https://doi.org/10.1016/0363-5023(88)90272-9
29. Mirra J, Kameda N, Rosen G, Eckardt J. Primary osteosarcoma of toe phalanx: first documented case. Review of osteosarcoma of short tubular bones. Am J Surg Pathol 1988;12(4):300-7.
https://doi.org/10.1097/00000478-198804000-00007
30. Brown R, Russell J, Zook E. Osteoid osteoma of the distal phalanx of the finger: a diagnostic challenge. Plast
Reconstr Surg 1992;90(6):1016-21. PMID: 1448496
31. Rosenthal D, Hornicek F, Wolfe M, Jennings L, Gebhardt M, Mankin H. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 1988;80:815-21.
https://doi.org/10.2106/00004623-199806000-00005
32. Sans N, Galy-Fourcade D, Assoun J, Jarlaud T, Chiavassa H, Bonnevialle P, et al. Osteoid osteoma: CT-guided
percutaneous resection and follow-up in 38 patients. Radiology 1999;212:687-92. https://doi.org/10.1148/radiology.212.3.r99se06687
33. Zouari L, Bousson V, Hamzé, Roulot E, Roqueplan F, Laredo J. CT-guided percutaneous laser photocoagulation of osteoid osteomas of the hands and feet. Eur Radiol 2008;18(11):2635-41. https://doi.org/10.1007/s00330-008-1045-3
34. Harrod CC, Boykin RE, Jupiter JB. Pain and swelling after radiofrequency treatment of proximal phalanx osteoid osteoma: case report. J Hand Surg Am 2010;35(6):990-4. https://doi.org/10.1016/j.jhsa.2010.03.012
35. Ramos L, Santos JA, Santos G, Guiral J. Radiofrequency ablation in osteoid osteoma of the finger. J Hand Surg Am 2005;30(4):798-802. https://doi.org/10.1016/j.jhsa.2005.03.009
36. Sullivan M. Osteoid osteoma of the fingers. Hand 1971;3(2):175-8. https://doi.org/10.1016/0072-968X(71)90040-4
1935;31(5):709-28. https://doi.org/10.1001/archsurg.1935.01180170034003
2. Gitelis S, Schajowicz F. Osteoid osteoma and osteoblastoma. Orthop Clin North Am 1989;20(3):313-25.
PMID: 2662110
3. Marcuzzi A, Acciaro AL, Landi A. Osteoid osteoma of the hand and wrist. J Hand Surg Br 2002;27(5):440-3.
https://doi.org/10.1054/jhsb.2002.0811
4. Ambrosia JM, Wold LE, Amadio PC. Osteoid osteoma of the hand and wrist. J Hand Surg Am 1987;12:794-800.
https://doi.org/10.1016/S0363-5023(87)80072-2
5. Burger IM, McCarthy EF. Phalangeal osteoid osteomas in the hand: a diagnostic problem. Clin Orthop Relat Res 2004;(427):198-203. https://doi.org/0.1097/01.blo.0000142623.97901.39
6. Bednar MS, McCormack RR, Glasser D, Weiland AJ. Osteoid osteoma of the upper extremity. J Hand Surg Am
1993;18(6):1019-25. https://doi.org/10.1016/0363-5023(93)90395-J
7. Georgiev GP, Slavchev SA, Dimitrova IN. Osteoid osteoma of the middle phalanx of the third finger in a child
mimicking a malignancy. Folia Medica 2018;60(2):314-17. https://doi.org/10.1515/folmed-2017-0085
8. Giannikas A, Papachristou G, Tiniakos G, Chrysafidis G, Hartofilakidis-Garofalidis G. Osteoid osteoma of the
terminal phalanges. Hand 1977;9(3):295-300. https://doi.org/10.1016/S0072-968X(77)80120-4
9. Forriol Brocal F, Martin V, Grasa Muro JL. Osteoma osteoide en falange de la mano. Rev Esp Cir Osteoart
1998;33:83-86. http://hdl.handle.net/10550/39954
10. Soler JM, Pizà G, Aliaga F. Special characteristics of osteoid osteoma in the proximal phalanx. J Hand Surg Br
1997;22:793-7. https://doi.org/10.1016/S0266-7681(97)80451-2
11. Andalib A, Sajadie-Khajouei S. Osteoid osteoma of distal phalanx: A rare disorder and review of literature. J Res Med Sci 2013;18(3):264-6. PMID: 23930128
12. Nakatsuchi Y, Sugimoto Y, Nakano M. Osteoid osteoma of the terminal phalanx. J Hand Surg Br 1984;9(2):201-3. https://doi.org/10.1016/S0266-7681(84)80032-7
13. Esquerdo J, Fernandez CF, Gomar F. Pain in osteoid osteoma: histological facts. Acta Orthop Scand
1976;47(5):520-4. https://doi.org/10.3109/17453677608988731
14. Foucher G, Lemarechal P, Citron N, Merle M. Osteoid osteoma of the distal phalanx: a report of four cases and review of the literature. J Hand Surg Br 1987;12(3):382-6. https://doi.org/10.1016/0266-7681_87_90194-X
15. Rosborough D. Osteoid osteoma: report of a lesion in the terminal phalanx of a finger. J Bone Joint Surg Br
1966;48(3):485-7. PMID: 5913139
16. Bowen C, Dzus A, Hardy D. Osteoid osteomata of the distal phalanx. J Hand Surg Br 1987;12.3:387-90.
https://doi.org/10.1016/0266-7681_87_90195-1
17. Levy Y, Rosenheck S, Greiff G. Osteoid osteoma of the distal phalanx of the thumb. Acta Orthop Scand
1979;50(6):667-9. https://doi.org/10.3109/17453677908991290
18. Meng Q, Watt I. Phalangeal osteoid osteoma. Br J Radiol1989;62(736):321-5.
https://doi.org/10.1259/0007-1285-62-736-321
19. Edeiken J, De Palma A, Hodes P. Osteoid osteoma. (Roentgenographic emphasis). Clin Orthop Relat Res
1966;49:201-6. PMID: 5962620
20. Barbari K, Prutki M, Starevi D, Seiwerths S, Bojani I. Rare localization of osteoid osteoma - Distal phalanx of the ring finger. Acta Med Croatica 2016;70(3):191-5. https://hrcak.srce.hr/174749
21. Assoun J, Richardi G, Railhac J, Baunin C, Fajadet P, Giron J, et al. Osteoid osteoma: MR imaging versus CT.
Radiology 1994;191(1):217-23. https://doi.org/10.1148/radiology.191.1.8134575
22. Zampa V, Bargellini I, Ortori S, Faggioni L, Cioni R, Bartolozziet C. Osteoid osteoma in atypical locations: the
added value of dynamic gadolinium-enhanced. MR imaging. Eur J Radiol 2009;71(3):527-35.
https://doi.org/10.1016/j.ejrad.2008.05.010
23. Melamud K, Drapé, JL, Hayashi D, Roemer F, Zentner J, Guermazi A. Diagnostic imaging of benign and malignant osseous tumors of the fingers. Radiographics 2014;34(7):1954-67. https://doi.org/10.1148/rg.347130031
24. Spouge A, Thain L. Osteoid osteoma: MR imaging revisited. Clin Imaging 2000;24(1):19-27.
https://doi.org/10.1016/S0899-7071(00)00157-1
25. Matiets M. Osteoid osteoma. The role of bone scans in diagnosis and surgery. J Nucl Med Technol 1986;14(3):138-42. http://tech.snmjournals.org/content/14/3/138.abstract
26. Helms C. Osteoid osteoma. The double density sign. Clin Orthop Relat Res 1987;(222):167-73. PMID: 3621716
27. Doyle L, Ruby L, Nalebuff E, Belsky M. Osteoid osteoma of the hand. J Hand Surg Am1985;10:408-10.
https://doi.org/10.1016/S0363-5023(85)80045-9
28. Crosby LA, Murphy RP. Subperiosteal osteoid osteoma of the distal phalanx of the thumb. J Hand Surg Am
1988;13(6):923-25. https://doi.org/10.1016/0363-5023(88)90272-9
29. Mirra J, Kameda N, Rosen G, Eckardt J. Primary osteosarcoma of toe phalanx: first documented case. Review of osteosarcoma of short tubular bones. Am J Surg Pathol 1988;12(4):300-7.
https://doi.org/10.1097/00000478-198804000-00007
30. Brown R, Russell J, Zook E. Osteoid osteoma of the distal phalanx of the finger: a diagnostic challenge. Plast
Reconstr Surg 1992;90(6):1016-21. PMID: 1448496
31. Rosenthal D, Hornicek F, Wolfe M, Jennings L, Gebhardt M, Mankin H. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 1988;80:815-21.
https://doi.org/10.2106/00004623-199806000-00005
32. Sans N, Galy-Fourcade D, Assoun J, Jarlaud T, Chiavassa H, Bonnevialle P, et al. Osteoid osteoma: CT-guided
percutaneous resection and follow-up in 38 patients. Radiology 1999;212:687-92. https://doi.org/10.1148/radiology.212.3.r99se06687
33. Zouari L, Bousson V, Hamzé, Roulot E, Roqueplan F, Laredo J. CT-guided percutaneous laser photocoagulation of osteoid osteomas of the hands and feet. Eur Radiol 2008;18(11):2635-41. https://doi.org/10.1007/s00330-008-1045-3
34. Harrod CC, Boykin RE, Jupiter JB. Pain and swelling after radiofrequency treatment of proximal phalanx osteoid osteoma: case report. J Hand Surg Am 2010;35(6):990-4. https://doi.org/10.1016/j.jhsa.2010.03.012
35. Ramos L, Santos JA, Santos G, Guiral J. Radiofrequency ablation in osteoid osteoma of the finger. J Hand Surg Am 2005;30(4):798-802. https://doi.org/10.1016/j.jhsa.2005.03.009
36. Sullivan M. Osteoid osteoma of the fingers. Hand 1971;3(2):175-8. https://doi.org/10.1016/0072-968X(71)90040-4