Painless osteoid osteoma in a metacarpal

Area of Science:

• Orthopedic Surgery
• Oncology
• Radiology

Background:

• Osteoid osteoma is a benign bone tumor typically affecting young adults.
• It characteristically presents with nocturnal pain, often relieved by NSAIDs.
• The tumor is rare in the hand, especially within the metacarpals.

Observation:

• A case of osteoid osteoma in a metacarpal is presented.
• The patient did not experience the typical pain associated with this condition.
• This atypical presentation highlights diagnostic challenges.

Findings:

• Histological and radiological examination confirmed osteoid osteoma.
• The lesion was located in a metacarpal bone.
• Absence of pain was a notable finding in this case.

Implications:

• This case expands the clinical spectrum of osteoid osteoma.
• It underscores the importance of considering atypical presentations in diagnosis.
• Further research may explore factors influencing pain manifestation in osteoid osteoma.