Valle Pablo, Rolland Raphael, Chammas Michel
Hand and Upper Extremity Surgery Unit, Lapeyronie University Hospital, Montpellier, France.
J Wrist Surg. 2015 Nov;4(4):274-7. doi: 10.1055/s-0035-1556863.
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.
腕部骨样骨瘤罕见,其治疗仍存在争议。病例描述:我们报告一名尺骨小头骨样骨瘤患者,该病例为腕部尺侧疼痛的罕见病因。诊断延误达4年。此前因误诊进行了尺骨短缩手术。通过骨扫描和计算机断层扫描(CT)做出诊断。实施了手术切除。症状消失,关节活动范围完全恢复。文献综述:此前从未有过尺骨小头骨样骨瘤的描述。临床意义:该病例表明骨样骨瘤可模仿尺腕撞击综合征。