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Osteoid osteoma of the upper extremity
M S Bednar1, R R McCormack, D Glasser
1Hospital for Special Surgery, New York, NY.
The Journal of Hand Surgery
|November 1, 1993
Summary
Osteoid osteomas in the upper extremity often present with pain, with aspirin providing relief for many. Lesions in the wrist and hand showed higher persistence rates after surgical excision.
Area of Science:
- Orthopedics
- Oncology
- Radiology
Background:
- Osteoid osteoma is a benign bone tumor.
- It commonly affects young adults and can cause significant pain.
Purpose of the Study:
- To review the clinical presentation, diagnosis, treatment, and outcomes of upper extremity osteoid osteomas.
- To identify factors associated with treatment failure.
Main Methods:
- Retrospective review of 46 patients with histologically confirmed osteoid osteoma of the upper extremity.
- Analysis of patient demographics, lesion location, symptom duration, diagnostic methods, treatment, and follow-up data.
Main Results:
- The average age at presentation was 20 years, with most lesions in the wrist/hand (24) or arm/forearm (22).
- Pain was the primary symptom in 44 patients, often relieved by aspirin.
- Plain X-rays were diagnostic in 35 cases; bone scans and tomography aided in localization.
- Excision and curettage were performed on all lesions.
- Six patients (13%) had persistent lesions, with five of these located in the wrist or hand (p = .0012).
Conclusions:
- Osteoid osteomas of the upper extremity typically present with pain and are often diagnosed with plain radiography.
- Surgical excision is the standard treatment, but persistence can occur, particularly in wrist and hand lesions.