Rotzer A, Umbricht R, von Wartburg U
Abteilung für Hand- und Plastische Chirurgie, Chirurgische Klinik, Kantonsspital Luzern.
Handchir Mikrochir Plast Chir. 1998 Sep;30(5):335-7.
One year after a nonspecific trauma and with a history of pain of four weeks only, an osteoid osteoma of the first phalanx of the left thumb was diagnosed in a 31-year-old man. The radiologic appearance as well as a bone scan were suggestive for an osteoid osteoma. The diagnosis was confirmed histologically after resection of the tumor. As indicated in the literature, osteoid osteoma of the hand is relatively rare. The symptoms and radiologic features (osteolytic nidus and sclerosis) of osteoid osteomas are independent of the tumor location. Surgery with resection of the nidus is the only known curative therapy. The etiological role of trauma is discussed and a review of the literature is done with 15 other cases of posttraumatic osteoid osteoma having been reported.
一名31岁男性在经历非特异性创伤一年后，仅伴有四周疼痛史，被诊断为左拇指近节指骨骨样骨瘤。放射学表现及骨扫描结果提示为骨样骨瘤。肿瘤切除术后组织学检查确诊了该诊断。如文献所示，手部骨样骨瘤相对罕见。骨样骨瘤的症状和放射学特征（溶骨性瘤巢和硬化）与肿瘤位置无关。切除瘤巢的手术是唯一已知的治愈性疗法。本文讨论了创伤的病因学作用，并对文献进行了综述，另外还报告了15例创伤后骨样骨瘤病例。
