Author/Authors :
Jafari، Davod نويسنده MD, Associate Professor of Orthopedic Surgery, Shafa Yahyaian Rehabilitation Center , , Jamshidi، Khodamorad نويسنده , , Hajialilo Sami، Sam نويسنده Department of Hand Surgery, Shafa Orthopedic Hospital,
Iran University of Medical Sciences, Tehran, IR Iran , , Shariatzadeh، Hooman نويسنده Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences, Tehran, IR
Iran , , Najd Mazhar، Farid نويسنده MD. Assistant Professor, Department of Hand Surgery, Shafa Yahyaian Hospital , , Shoushtarizadeh، Tina نويسنده Department of Hand Surgery, Shafa Orthopedic Hospital,
Iran University of Medical Sciences, Tehran, IR Iran , , Abbasgholizadeh، Behzad نويسنده Hand Surgery Fellow, Department of Hand Surgery, ShafaYahyaian Hospital , , Dashtebozorgh، Ahmad نويسنده Hand surgery Fellow ,
Abstract :
Background: The upper extremity bones are infrequent sites for osteoid osteoma. Diagnosis of this tumor could be difficult and challenging.
Materials and Methods: Thirty five patients with histologically confirmed osteoid osteoma of the upper extremity seen from 1992 to 2011 were studied retrospectively.
Results: The patientsʹ age at presentation averaged 23.4 years. Male to female ratio was 4 and right to left side ratio was 4, too. Twenty-five of the lesions were located in the wrist and hand, six around elbow, three around shoulder joint and one in radius diaphysis. Pain was present in all cases. Of 27 patients who took no steroidal anti-inflammatory drugs (NSAID) for pain, 20 obtained at least partial relief. Mass or swelling was more commonly noted in lesions of the hand and wrist as compared to the arm and forearm.
Conclusions: Osteoid osteoma, relatively rare lesions in the upper extremity, could be a persistent source of hand, wrist, elbow or shoulder pain. Patients under age 40 who have otherwise unexplained pain should be evaluated in this regard.
