Osteoid osteoma in the bones of the hand: a systematic literature review

Abstract

Introduction Osteoid osteoma (OO) is a common benign bone tumor. OO is observed most frequently in the long bones, especially in the tibia and femur. When occurring in the bones of the hand, OO can be a diagnostic and therapeutic challenge. The aim of this study was to provide a systematic review of occurrence, symptoms, diagnosis and treatment options regarding OO in hand bones. Materials and methods We performed a systematic review of the literature. All studies from the online databases PubMed and SpringerLink, which reported cases of osteoid osteomas in the bones of the hand, were included. By summarizing the literature, we evaluated the localization within the hand as well as diagnostic and therapeutic options. Results We included 133 studies reporting 401 cases. OO was mostly common in the phalanges. The diagnosis was mostly made by CT (computed tomography) scan. Most of the OO were treated surgically by open curettage or en bloc resection. Conclusions Osteoid osteomas in the bones of the hand are rare and a delayed diagnosis is common. In cases of pain combined with particular symptoms such as nail hypertrophy and swelling OO should be considered. Of the most used imaging methods, CT scans have the highest sensitivity.

Not every knee tumour is a ganglion - retrospective analysis of benign and malign tumour entities around the knee

“…MRI of the whole compartment with adjacent joints should be carried out and is currently regarded as the best modality for local staging for tumours of the extremities. Additional CT is not mandatory but may help to evaluate bone stability and may increase sensitivity in rare tumour entities [19]. Noteworthy, a recent study focused on the quality of primary radiology MRI reports and revealed frequent deviations from the European Society of Musculoskeletal Radiology (ESSR) guidelines resulting in 25% mismatch with the histopathological diagnosis and 32% misinterpretation of the masses as benign [34].…”

Hand tumors

“…Alternative treatments of CT-guided percutaneous ablation of the nidus using radiofrequency (RF), laser photocoagulation (LPC), and thermocoagulation (TCG) are described. In the latter, the main complications described are local recurrence, mainly in TCG, and osteonecrosis in RF 27 .…”

“…The occurrence in the carpal bones is lower, with the scaphoid being the most affected (7.7%). The most frequently observed location is within the cortical bone (intracortical), followed by cancellous bone, subperiosteal, and juxta-articular regions 27 .…”

“…CT ( Figure 6 ) is the exam with the highest sensitivity (93.1%), showing a central nidus with surrounding sclerosis, and is followed by magnetic resonance imaging (MRI) (81.6%). Plain radiography and scintigraphy are also of great value 27 .…”