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Proximal Phalanx Osteoid Osteoma: A Case Report and Literature Review
Edward H Liu1, Nicholas Stone1, Salem Omar Alowami1
1Division of Plastic Surgery, Department of Surgery, McMaster University Medical Centre, Hamilton, Ontario, Canada; Division of Plastic Surgery, Department of Surgery Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada; and Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.
Abstract:
Osteoid osteoma is a rare clinical entity often mistaken for osteomyelitis, enchondroma, osteochondroma and other bony pathologies. Cardinal features include localized swelling and nocturnal pain often relieved by nonsteroidal antiinflammatory drugs. Definitive treatment requires surgical removal of the lesion by curettage or en bloc excision. The following case report details the diagnosis and management of a recurrent case of osteoid osteoma in a long finger proximal phalanx. Included with this case report is a literature review of osteoid osteomas on the hand and the anatomic distribution of 289 cases published in the last 30 years.
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