Primary bone tumors of the hand and carpus

This discussion has attempted to outline a fundamental approach to the radiographic analysis of solitary lesions of the hand and wrist skeleton. The initial evaluation invariably relies on the routine radiograph, using the conventional film-screen combination to obtain a sense of the lesion in its gross anatomic setting. Decisions to use ancillary procedures and the selection of their type and sequence can also best be based on an initial general evaluation. On the basis of an overall view so obtained, and by using a body of general roentgenographic criteria, one can arrive at the most likely diagnostic probabilities. However, in addition to careful study of the lesion, close cooperation between the clinician, the pathologist, and the radiologist cannot be overemphasized. Only by means of such collaboration is it possible to reach a truly valid diagnosis and a rational plan for treatment.