Polyostotic Paget Disease Involving Bones of the Upper Extremity

Abstract

Paget disease of bone (PD) is a common skeletal disease. It is usually polyostotic and most frequently involves the pelvis, femur, spine, skull, and tibia. The bones of the upper extremity in poly- or monostotic PD are rarely affected. A patient with PD involving the third left metacarpal bone and carpal bones of the right hand is described.

Monostotic Paget's disease of the second metacarpal

“…Polyostotic Paget's disease of the hand has been reported in the literature, however, monostotic Paget's disease of the hand (confirmed with histology) is rarely reported 1–10. Included bones of the hand are the second metatarsal,3 5 third metacarpal,3 5 7 9 fourth metacarpal,2 5 fifth metacarpal,5 10 proximal phalanx,1 4–6 middle phalanx,1 4 5 distal phalanx,5 os hamatum,5 scaphoid and capitate 5. Although Grundy and Patton did not clearly mention whether the patterns in their 11 cases were monostotic or polyostotic, we considered them to be monostotic lesions 5.…”