Cheah Jonathan Toh Leong, Fields Theodore R
Department of Medicine, Hospital for Special Surgery, New York, New York, USA.
BMJ Case Rep. 2018 Feb 27;2018:bcr-2017-222939. doi: 10.1136/bcr-2017-222939.
A minority of osteoid osteomas are found to be juxta-articular and within the small bones of the wrist. We present a 30-year-old man diagnosed with an osteoid osteoma of the lunate bone, presenting with 3 years of left wrist pain, swelling and reduced range of motion. Given the patient's background and laboratory testing, consideration was given to both inflammatory and infectious causes and the diagnosis was delayed, requiring repeat interval imaging and assisted by multiple imaging modalities. Management by surgical excision led to resolution of pain and swelling. In cases of a prolonged isolated monarthritis, juxta-articular osteoid osteoma should be considered in the differential.
少数骨样骨瘤位于关节附近及腕部小骨内。我们报告一名30岁男性，被诊断为月骨骨样骨瘤，有3年的左腕疼痛、肿胀及活动范围减小症状。鉴于患者的背景和实验室检查结果，曾考虑炎症和感染性病因，诊断有所延迟，需要定期重复影像学检查并借助多种成像方式。手术切除治疗使疼痛和肿胀症状得以缓解。对于长期孤立性单关节炎病例，鉴别诊断时应考虑关节旁骨样骨瘤。
