Ersoy Burak
Maltepe University, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul, Turkey.
Acta Orthop Traumatol Turc. 2017 Jan;51(1):91-93. doi: 10.1016/j.aott.2015.03.005. Epub 2016 Dec 31.
The development of osteoma in soft tissues without a direct contact with the adjacent osseous and articular structures is a very rare event. The involvement of the hand is even rarer, with only two previous cases reported so far. A 25-year-old man presented with a painless solid mass in the thenar region of his right palm, which appeared almost 2 years ago and showed a progressive enlargement in the last months. Under regional anesthesia an excisional biopsy was performed and the histopathological evaluation of the lesion confirmed the diagnosis of soft tissue osteoma. The postoperative follow-up period was uneventful without any complication or recurrence. Following a brief period of hand physiotherapy the patient has returned to normal daily activities.
软组织中发生的骨瘤，若与相邻的骨和关节结构无直接接触，是非常罕见的情况。手部受累更为罕见，迄今为止仅有两例既往病例报道。一名25岁男性，右手掌鱼际区出现一个无痛性实性肿块，大约2年前出现，在过去几个月中呈进行性增大。在区域麻醉下进行了切除活检，病变的组织病理学评估证实为软组织骨瘤。术后随访期间情况良好，无任何并发症或复发。经过短暂的手部物理治疗后，患者已恢复正常日常活动。
