Intra-Articular Osteoid Osteoma of the Trapezoid Bone: A Rare Presentation Mimicking Wrist Synovitis.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Case Reports in Medicine Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI:10.1155/carm/7648066
Khadija Baccouche, Rym Fakhfekh, Dhouha Khalifa, Haifa Hachfi, Cyrine Daldoul, Nejla Elamri, Elyes Bouajina
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引用次数: 0

Abstract

Osteoid osteomas predominantly occur in the cortices of long bones, with the femur and tibia being the most commonly affected sites. However, they can occasionally present in atypical locations, such as the carpus, which can lead to diagnostic confusion with other conditions. This case report details an intraarticular osteoid osteoma in the trapezoid bone. Initial evaluations, including standard radiographs, joint ultrasound, and wrist MRI performed twice, initially pointed toward a diagnosis of wrist synovitis. This case underscores the diagnostic challenges posed by atypical presentations of osteoid osteomas. Given the edema present in the carpal bones alongside the synovitis, we performed a hand CT scan, which raised doubts about the appearance of the nidus and histopathological examination confirmed the diagnosis. Clinical symptoms, including pain and functional limitations, were completely resolved following surgical excision.

梯形骨关节内骨样骨瘤:一种罕见的模拟腕滑膜炎的表现。
骨样骨瘤主要发生在长骨皮质,股骨和胫骨是最常见的受累部位。然而,它们偶尔会出现在非典型部位,如腕骨,这可能导致与其他疾病的诊断混淆。本病例报告详细描述了一个梯形骨的关节内骨样骨瘤。最初的评估包括标准x线片、关节超声和两次手腕MRI,最初诊断为手腕滑膜炎。本病例强调了非典型骨样骨瘤的诊断挑战。考虑到滑膜炎和腕骨水肿,我们进行了手部CT扫描,对病灶的外观提出了怀疑,组织病理学检查证实了诊断。临床症状,包括疼痛和功能限制,在手术切除后完全消除。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
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