Document Detail

Osteoid osteoma of the hamate: an unusual cause of ulnar-sided wrist pain.
MedLine Citation:
PMID:  20608627     Owner:  NLM     Status:  MEDLINE    
Ulnar-sided wrist pain is a common complaint that presents a diagnostic challenge. Determining the cause of ulnar-sided wrist pain is difficult, largely due to the complexity of the anatomic and biomechanical properties of the ulnar side of the wrist. Osteoid osteoma is a benign skeletal neoplasm of unknown etiology that is composed of osteoid and woven bone. Its incidence is 11% of benign tumors and 3% of all primary bone tumors, with 6% to 13% of all cases occurring in the hand. Osteoid osteoma of the hamate can produce ulnar-sided wrist pain in the dorsal or volar aspect of the wrist, depending on the location of the tumor in the bone. In its classical and most frequent form, the osteoma may settle in the cortex or the spongiosa. A third rare form appears subperiosteally. Occasionally it destroys the articular cartilage by erosion or penetration. Most of the tumors will produce dorsal pain. A tumor located in the hook will produce volar pain. This article describes a case of ulnar-sided wrist pain due to a rare case of osteoid osteoma of the hamate. We recommend marking the nidus with a needle intraoperatively with the aid of radiography.
Guy Rubin; Alejandro Wolovelsky; Micha Rinott; Nimrod Rozen
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-13
Journal Detail:
Title:  Orthopedics     Volume:  33     ISSN:  1938-2367     ISO Abbreviation:  Orthopedics     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-08     Completed Date:  2010-10-14     Revised Date:  2010-10-26    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  513     Citation Subset:  IM    
Copyright Information:
Copyright 2010, SLACK Incorporated.
Orthopedics Department, Haemek Medical Center, Afula, Israel.
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MeSH Terms
Arthralgia / diagnosis*,  etiology,  physiopathology
Bone Neoplasms / complications,  pathology*,  surgery
Hamate Bone / pathology*,  surgery
Osteoma, Osteoid / complications,  pathology*,  surgery
Treatment Outcome
Ulna / pathology*,  physiopathology,  radiography
Wrist Joint / pathology,  physiopathology,  surgery
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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