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Updated: Jan 28, 2026
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Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
Published on: March 8, 2018
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[Osteoid Osteoma of the Upper Extremity]
M Czinner1, R Kebrle, Z Matějovský
1Oddělení ortopedie, Traumatologicko-ortopedické centrum, Krajská nemocnice Liberec.
Summary
Osteoid osteoma (OO) of the upper extremity is a rare condition causing significant pain and diagnostic delays. Surgical treatment offers fast pain relief and functional recovery, with CT scans proving most effective for diagnosis.
Area of Science:
- Orthopedics
- Oncology
- Radiology
Background:
- Osteoid osteoma (OO) of the upper extremity is a rare benign bone tumor.
- It presents a significant diagnostic challenge, often leading to delayed management and prolonged pain.
- Accurate and timely diagnosis is crucial for effective treatment and patient outcomes.
Purpose of the Study:
- To highlight the specific characteristics of upper extremity osteoid osteoma.
- To evaluate a cohort of patients regarding diagnosis time and treatment outcomes.
- To assess the efficacy of various imaging modalities in diagnosing upper extremity osteoid osteoma.
Main Methods:
- Retrospective evaluation of 8 patients with histologically verified upper extremity OO (2007-2017).
- Assessment of pain using the Visual Analogue Scale (VAS) preoperatively and postoperatively.
- Clinical evaluation of swelling, synovitis, and range of motion; review of imaging techniques (plain radiography, CT).
Main Results:
- 8 patients (7 male, 1 female; mean age 24.5 years) with OO in the elbow, wrist, or hand were treated.
- Mean diagnostic delay was 16.25 months; CT was the most beneficial imaging technique.
- Mean VAS pain score decreased from 9.25 preoperatively to 1 postoperatively, with no recurrence.
Conclusions:
- Osteoid osteoma of the upper extremity requires consideration in cases of persistent pain, particularly in young males.
- CT imaging is superior to plain radiography for diagnosing OO in the complex anatomy of the hand and wrist.
- Surgical excochleation provides effective pain relief and functional recovery.
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