Osteoma in the upper cervical spine: A case report and comprehensive literature review

Nabavizadeh, Seyed Ali; Khorraminejad-Shirazi, Mohammadhossein; Firouzabadi, Dena; Nabavizadeh, Sara S.; Jafari, Seyed Hamed; Dehghanian, Amirreza

doi:10.1016/j.ijscr.2023.108924

Cited by 1 publication

(1 citation statement)

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“…A complete medical history is a vital component of patient evaluation, and yet subtleties may be overlooked without iteratively revisiting with directed questioning. Patients frequently fail to associate remote or seemingly insignificant injuries with current symptoms, diminishing perceived relevance [ 4 , 6 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Unveiling a foreign body masquerading as periarticular calcification: a case report

Kamalinia,

Seifaei,

Moein

et al. 2024

J Med Case Reports

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Introduction Evaluating isolated extremity discomfort can be challenging when initial imaging and exams provide limited information. Though subtle patient history hints often underlie occult pathologies, benign symptoms are frequently miscategorized as idiopathic. Case presentation We present a case of retained glass obscuring as acute calcific periarthritis on imaging. A 48-year-old White male with vague fifth metacarpophalangeal joint pain had unrevealing exams, but radiographs showed periarticular calcification concerning inflammation. Surgical exploration unexpectedly revealed an encapsulated glass fragment eroding bone. Further history uncovered a forgotten glass laceration decade prior. The foreign body was removed, resolving symptoms. Discussion This case reveals two imperative diagnostic principles for nonspecific extremity pain: (1) advanced imaging lacks specificity to differentiate inflammatory arthropathies from alternate intra-articular processes such as foreign bodies, and (2) obscure patient history questions unearth causal subtleties that direct accurate diagnosis. Though initial scans suggested acute calcific periarthritis, exhaustive revisiting of the patient’s subtle decade-old glass cut proved pivotal in illuminating the underlying driver of symptoms. Conclusion Our findings underscore the critical limitations of imaging and the vital role that meticulous history-taking plays in clarifying ambiguous chronic limb presentations. They spotlight the imperative of probing even distant trauma when symptoms seem disconnected from causative events. This case reinforces the comprehensive evaluation of all subtle patient clues as key in illuminating elusive extremity pain etiologies.

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Section: Discussionmentioning

confidence: 99%