Zanasi S, Botticelli A, Marchetti M, Caroli A
Cattedra di Chirurgia della Mano, Università degli Studi, Modena.
Ital J Orthop Traumatol. 1990 Mar;16(1):129-32.
The authors present a case of osteoid osteoma which is of interest not only because of the extreme rarity of its localisation in the 1st metacarpal, but also because of its unusual clinical features. These consisted of atypical pain, which was constant and did not respond to salicylates. There was marked local reaction, particularly in the soft tissues surrounding the 1st metacarpal, with a fine superficial venous reticulum. It was possible to follow the complete radiographic development of the tumour from its earliest stage to its final rather atypical appearance, and this allowed us to make the presumptive diagnosis without dependence on other more sophisticated methods.
作者报告了一例骨样骨瘤病例，该病例之所以引人关注，不仅是因为其位于第一掌骨的情况极为罕见，还因其具有不寻常的临床特征。这些特征包括非典型疼痛，疼痛持续存在且对水杨酸盐无反应。有明显的局部反应，尤其是在第一掌骨周围的软组织中，伴有细微的浅表静脉网。能够追踪到肿瘤从最早阶段到最终相当不典型外观的完整影像学发展过程，这使我们能够在不依赖其他更复杂方法的情况下做出初步诊断。
