The hand in Paget's disease (osteitis deformans)

Monostotic Paget's disease of the second metacarpal

“…Monostotic disease is present in 15–30% of all cases. Monostotic Paget's disease of the hand is usually asymptomatic and patients can be diagnosed incidentally on radiographs taken for other reasons 5. However, it is reported that some patients with monostotic disease of the hand experienced pain and/or swelling 4 8.…”

“…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.…”

Open quiz solution: Case report 806

“…However, involvement of the hand has been infrequently reported [1,2,5,6,11,18]. However, involvement of the hand has been infrequently reported [1,2,5,6,11,18].…”

“…Most of the bone trabeculae were thin and irregular ( Fig. Phalanges are the hand bones most frequently involved; metacarpal and carpal bone involvement is rarer [2,4,5]. Osteoclasts were also prominent and related to areas of resorption (Fig.…”

Complications of Paget’s Disease of Bone

“…The common changes affect the long limb bones, the skull, and the vertebral column. The small bones of the extremities, although probably involved by the disease process more often than is gener ally recognised [Grundy and Patton 1969] are not usually visibly distorted. Platybasia and the other changes in the skull have been dis cussed already in this journal [Simons, 1978].…”