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Joint Bone Spine
Volume 73, n° 5
pages 560-563 (octobre 2006)
Doi : 10.1016/j.jbspin.2005.11.021
Received : 28 August 2005 ;  accepted : 30 November 2005
Osteoid osteoma of the carpal bones. Two case reports
 

Jean-Michel Laffosse a, , Jean-Louis Tricoire a, Alain Cantagrel b, Aude Wagner c, Jean Puget a
a Service d'Orthopédie et de Traumatologie, CHU de Rangueil, 1, avenue Jean Poulhès TSA 50032, 31059 Toulouse cedex 9, France 
b Service de Rhumatologie, 1, avenue Jean Poulhès TSA 50032, 31059 Toulouse cedex 9, France 
c Service de Chirurgie Plastique, Reconstructrice et Esthétique, CHU de Rangueil, 1, avenue Jean Poulhès TSA 50032, 31059 Toulouse cedex 9, France 

Corresponding author. 2, rue Baronie, 31000 Toulouse, France.
Abstract

Osteoid osteoma rarely develops in the wrist. The symptoms resemble atypical tenosynovitis, with variations according to the location of the tumor. As a result, diagnostic wanderings are common. In addition, the pain may seem related to an injury, as illustrated by two cases reported herein. Conventional investigations often fail to contribute to the diagnosis. The most specific investigation is thin-slice computed tomography (CT), which can be coupled to magnetic resonance imaging. CT typically visualizes a round lucency surrounded by a rim of sclerosis; in addition, CT shows the exact location of the tumor, particularly relative to neighboring joints. Complete excision of the nidus must be achieved to ensure a permanent cure. Same-stage carpal bone fusion may be required in patients with extensive joint involvement.

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Keywords : Osteoid osteoma, Carpal bones, Wrist, Capitate bone, Trapezoid bone, Computed tomography, Synovitis




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