Srinivasan Prajwal Anand, Pullagura Mohan, Selvarajan Raam Mohan, Patel Shiv, Ganapathy Ranusha
Department of Orthopedics, St. Helen and Knowsley NHS Trust, Prescot, England.
J Orthop Case Rep. 2024 Aug;14(8):121-124. doi: 10.13107/jocr.2024.v14.i08.4670.
Osteochondroma (OC) is a common benign bone tumor that usually arises from the metaphyseal region of long bones. Rarely, it can present in atypical locations such as the wrist and posing diagnostic challenges.
We present a 42-year-old female with an incidental finding of OC on the volar aspect of the right wrist. The patient was referred for a musculoskeletal assessment due to a painful swelling, which was slowly increasing in size over 2 years, following mild trauma. With a suspicion of ganglion, investigations including X-ray and ultrasound led to surgical excision and histological examination, which confirmed a diagnosis of a benign OC.
The case emphasizes the importance of considering OC in the differential diagnosis of wrist swellings and highlights the effectiveness of surgical intervention in resolving symptoms.
骨软骨瘤(OC)是一种常见的良性骨肿瘤,通常起源于长骨的干骺端区域。很少见的情况下,它会出现在非典型部位,如手腕,这给诊断带来挑战。
我们报告一名42岁女性,在右手腕掌侧偶然发现骨软骨瘤。患者因疼痛性肿胀就诊接受肌肉骨骼评估,该肿胀在轻度创伤后2年中缓慢增大。由于怀疑是腱鞘囊肿,进行了包括X线和超声在内的检查,随后手术切除并进行组织学检查,确诊为良性骨软骨瘤。
该病例强调了在手腕肿胀的鉴别诊断中考虑骨软骨瘤的重要性,并突出了手术干预缓解症状的有效性。