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[Two osteoid osteomas in the same lunate].

A Messoudi1, S Fnini, N Labsaili

  • 1Service de chirurgie orthopédique et traumatologique (Pavillon 32), centre hospitalier universitaire Ibn-Rochd, 45, quartier des Hôpitaux, Casablanca, Maroc. abdljbbar5151@hotmail.com

Chirurgie De La Main
|June 26, 2007
PubMed
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This study reports a rare case of double osteoid osteoma in the wrist's lunate bone. Surgical removal led to complete recovery, highlighting effective treatment for this benign bone tumor.

Area of Science:

  • Orthopedic Surgery
  • Musculoskeletal Oncology
  • Radiology

Background:

  • Osteoid osteoma is a benign bone tumor characterized by osteoblastic hyperactivity and sclerosis.
  • It typically affects long bones, with carpal involvement being uncommon, usually impacting the scaphoid.

Observation:

  • A patient presented with 18 months of progressive wrist pain due to a rare double osteoid osteoma in the lunate bone.
  • Radiological imaging revealed two central lucencies within the lunate without cortical breach.

Findings:

  • Surgical curettage of both osteoid osteoma lesions was performed.
  • The resultant bone defects were packed with cancellous bone graft.

Implications:

  • The successful treatment resulted in the complete disappearance of the lesions.

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  • Good functional recovery of the wrist was achieved post-operatively.
  • This case underscores the importance of considering rare presentations of osteoid osteoma in the differential diagnosis of wrist pain.