Download PDF
J Wrist Surg 2015; 04(04): 274-277
DOI: 10.1055/s-0035-1556863
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Osteoid Osteoma of the Ulnar Head―An Uncommon Cause of Ulnar Wrist Pain

Pablo Valle
1   Hand and Upper Extremity Surgery Unit, Lapeyronie University Hospital, Montpellier, France
,
Raphael Rolland
1   Hand and Upper Extremity Surgery Unit, Lapeyronie University Hospital, Montpellier, France
,
Michel Chammas
1   Hand and Upper Extremity Surgery Unit, Lapeyronie University Hospital, Montpellier, France
› Author Affiliations
Further Information

Publication History

Publication Date:
29 October 2015 (online)

    Permissions and Reprints

Abstract

Background Osteoid osteoma of the wrist is rare and treatment is still in debate.

Case Description We report on a patient with osteoid osteoma of the head of the ulna, as an unusual cause of pain on the ulnar side of the wrist. The diagnostic delay was 4 years. A previous ulna shortening surgery was performed because of misdiagnosis. The diagnosis was made with bone scan and computed tomography (CT). A surgical resection was performed. The symptoms disappeared, and full range of motion was recovered.

Literature Review Osteoid osteoma on the head of the ulna had never been described before.

Clinical Relevance This case demonstrates that osteoid osteoma can mimic ulnocarpal impingement syndrome.

Keywords

osteoid osteoma - upper limb - ulnar wrist pain - ulna - ulnocarpal impingement
 

  • References

  • 1 Atesok KI, Alman BA, Schemitsch EH, Peyser A, Mankin H. Osteoid osteoma and osteoblastoma. J Am Acad Orthop Surg 2011; 19 (11) 678-689
    PubMedGoogle Scholar
  • 2 Themistocleous GS, Chloros GD, Benetos IS, Efstathopoulos DG, Gerostathopoulos NE, Soucacos PN. Osteoid osteoma of the upper extremity. A diagnostic challenge. Chir Main 2006; 25 (2) 69-76
    CrossrefPubMedGoogle Scholar
  • 3 Kalb K, Schlör U, Meier M, Schmitt R, Lanz U. Osteoid osteoma of the hand und wrist [in German]. Handchir Mikrochir Plast Chir 2004; 36 (6) 405-410
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Carroll RE. Osteoid osteoma in the hand. J Bone Joint Surg Am 1953; 35-A (4) 888-893 , passim passim
    PubMedGoogle Scholar
  • 5 Herzberg G, Baaklini M, Al Saati M, Izem Y. Intra-articular subperiosteal osteoid osteoma of the triquetrum. Case report [in French]. Chir Main 2010; 29 (5) 332-334
    CrossrefPubMedGoogle Scholar
  • 6 Ambrosia JM, Wold LE, Amadio PC. Osteoid osteoma of the hand and wrist. J Hand Surg Am 1987; 12 (5 Pt 1): 794-800
    CrossrefPubMedGoogle Scholar
  • 7 Bednar MS, McCormack Jr RR, Glasser D, Weiland AJ. Osteoid osteoma of the upper extremity. J Hand Surg Am 1993; 18 (6) 1019-1025
    CrossrefPubMedGoogle Scholar
  • 8 Marcuzzi A, Acciaro AL, Landi A. Osteoid osteoma of the hand and wrist. J Hand Surg [Br] 2002; 27 (5) 440-443
    CrossrefPubMedGoogle Scholar
  • 9 Al Shaikhi A, Hébert-Davies J, Moser T, Maillot E, Danino AM. Osteoid osteoma of the capitate: a case report and literature review. Eplasty 2009; 9: e38
    PubMedGoogle Scholar
  • 10 Kim JH, Lee HJ, Baek GH. Intra-articular osteoid osteoma in the proximal ulna combined with radial head subluxation: a case report. J Shoulder Elbow Surg 2012; 21 (8) e1-e5
    PubMedGoogle Scholar
  • 11 Girard J, Becquet E, Limousin M, Chantelot C, Fontaine C. Osteoid osteoma of the trapezoid bone: a case report and review of the literature [in French]. Chir Main 2005; 24 (1) 35-38
    CrossrefPubMedGoogle Scholar
  • 12 Chloros GD, Themistocleous GS, Papagelopoulos PJ, Khaldi L, Efstathopoulos DG, Soucacos PN. Osteoid osteoma of the radial styloid mimicking De Quervain tenosynovitis. South Med J 2007; 100 (10) 1045-1047
    CrossrefPubMedGoogle Scholar
  • 13 Chai JW, Hong SH, Choi JY , et al. Radiologic diagnosis of osteoid osteoma: from simple to challenging findings. Radiographics 2010; 30 (3) 737-749
    CrossrefPubMedGoogle Scholar
  • 14 Tonogai I, Hamada Y, Yasui N. A case of osteoid osteoma of the trapezoid bone: the efficiency of dynamic magnetic resonance imaging for the detection of osteoid osteoma localized at the atypical site. Hand Surg 2012; 17 (1) 99-103
    CrossrefPubMedGoogle Scholar
  • 15 Soong M, Jupiter J, Rosenthal D. Radiofrequency ablation of osteoid osteoma in the upper extremity. J Hand Surg Am 2006; 31 (2) 279-283
    CrossrefPubMedGoogle Scholar
  • 16 Rehnitz C, Sprengel SD, Lehner B , et al. CT-guided radiofrequency ablation of osteoid osteoma and osteoblastoma: clinical success and long-term follow up in 77 patients. Eur J Radiol 2012; 81 (11) 3426-3434
    CrossrefPubMedGoogle Scholar
  • 17 Neumann D, Berka H, Dorn U, Neureiter D, Thaler C. Follow-up of thirty-three computed-tomography-guided percutaneous radiofrequency thermoablations of osteoid osteoma. Int Orthop 2012; 36 (4) 811-815
    CrossrefPubMedGoogle Scholar
  • 18 Tillotson CL, Rosenberg AE, Rosenthal DI. Controlled thermal injury of bone. Report of a percutaneous technique using radiofrequency electrode and generator. Invest Radiol 1989; 24 (11) 888-892
    CrossrefPubMedGoogle Scholar
  • 19 Roukos S, Issa M. Radiofrequency treatment of an osteoid osteoma of the wrist: report of 2 cases [in French]. Chir Main 2011; 30 (5) 356-359
    CrossrefPubMedGoogle Scholar
  • 20 Ghiam GF, Bora Jr FW. Osteoid osteoma of the carpal bones. J Hand Surg Am 1978; 3 (3) 280-283
    CrossrefPubMedGoogle Scholar
  • 21 Lisanti M, Rosati M, Spagnolli G, Luppichini G. Osteoid osteoma of the carpus. Case reports and a review of the literature. Acta Orthop Belg 1996; 62 (4) 195-199
    PubMedGoogle Scholar
  • 22 Olmedo-Garcia N, Lopez-Prats F. Tetracycline fluorescence for the peroperative localization of osteoid osteoma of the triquetrum. Acta Orthop Belg 2002; 68 (3) 306-309
    PubMedGoogle Scholar