Hamatum osteoblastom
DOI:
https://doi.org/10.23938/ASSN.0246Keywords:
Osteoblastoma. Hamate bone. Carpus. Curettage.Abstract
Osteoblastoma is an infrequent primary osseous tumour. Its presentation in the upper extremities and more specifically in the carpal bones is unusual. We present a case of osteoblastoma localized in the hamate bone and review the treatment realized in this infrequent localization.
A young male patient with pain and swelling in the back of his hand of one year’s evolution, resistant to medical treatment. Complementary tests showed lytic tumefaction in the hamate bone with non-aggressive characteristics. It was treated by curettage and filling the iliac crest with autologous graft. The pathological anatomical study diagnosed that it was a case of osteoblastoma.
The result was satisfactory, with total disappearance of the pain and a radiological image of complete restitution of the osseous defect, with no signs of recurrence after 4 years.
The treatment should be curettage plus autologous graft. Conversely, resection of the affected bone can be considered in cases with aggressive data.
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References
1. HEALEY JH, GHELMAN B. Osteoid osteoma and osteoblastoma. Current concepts and recent advances. Clin Orthop Relat Res 1986; 204: 76-85.
https://doi.org/10.1097/00003086-198603000-00008
2. LICHTENSTEIN L. Benign osteoblastoma; A category of osteoid and bone forming tumors other than classical osteoid osteoma, wich may be mistaken for giant cell tumor or osteogenic sarcoma. Cancer 1956; 9: 1044-1052.
https://doi.org/10.1002/1097-0142(195609/10)9:5<1044::AID-CNCR2820090523>3.0.CO;2-O
3. JAFFE HL. Benign osteoblastoma. Bull Hosp Joint Dis 1956; 17: 141-151.
4. DAHLIN DC, JOHNSON EW. Giant osteoid osteoma. J Bone Joint Surg Am 1954; 36: 559-572.
https://doi.org/10.2106/00004623-195436030-00011
5. LUCAS DR, UNNI KK, MC LEOD RA, O'CONNOR MI, SIM FH. Osteoblastoma: clinicopathologic study of 306 cases. Hum Pathol 1994; 25: 117-134.
https://doi.org/10.1016/0046-8177(94)90267-4
6. SFORZO CR, SCARBOROUGH MT, WRIGHT TW. Bone-forming tumors of the upper extremity and Ewing's sarcoma. Hand Clin 2004; 20: 303-315.
https://doi.org/10.1016/j.hcl.2004.03.014
7. MANGINI U. Tumors of the skeleton of the hand. Bull Hosp Joint Dis 1967; 28: 61-103.
8. KROON HM, SCHURMANS J. Osteoblastoma: clinical and radiologic findings in 98 new cases. Radiology 1990; 175: 783-790.
https://doi.org/10.1148/radiology.175.3.2343130
9. MENON J, RANKIN D, JACOBSON C. Recurrent osteoblastoma of the carpal hamate. Orthopedics 1988; 11: 609-611.
https://doi.org/10.3928/0147-7447-19880401-12
10. ASPERGIS E, TSAMOURI M, THEODORATOS G, MARIS I, ANTONIOU N. Osteoblastoma of the hamate bone: a case report. J Hand Surg Am 1993; 18: 137-140.
https://doi.org/10.1016/0363-5023(93)90260-A
11. VAN DIJK M, WINTERS HA, WUISMAN PI. Recurrent osteoblastoma of the hamate bone. A two-stage reconstruction with a free vascularised iliac crest flap. J Hand Surg Br 1999; 24: 501-505.
https://doi.org/10.1054/JHSB.1999.0235
12. MUÑOZ J, DE LAS HERAS J, ROJO JM, NARBONA J, PARRA J, DEL CERRO M. Osteoblastoma del hueso ganchoso. A propósito de un caso. Rev Iberoam Cir Mano 2009; 37: 133-137.
https://doi.org/10.1055/s-0037-1606758
13. GDOURA F, TRIGUI M, ELLOUZE Z, HAMED YB, AYADI K, KESKES H. Hamatum osteoblastoma. Orthop Traumatol Surg Res 2010; 96: 712-716.
https://doi.org/10.1016/j.otsr.2010.02.014
14. ATESOK K, ALMAN BA, SCHEMITSCH EH, PEYSER A, MANKIN H. Osteoid osteoma and osteoblastoma. J Am Acad Orthop Surg 2011; 19: 678-689.
https://doi.org/10.5435/00124635-201111000-00004
15. OLIVEIRA CR, MENDONÇA BB, CAMARGO OP, PINTO EM, NASCIMENTO SA, LATORRE MDO R et al. Classical osteoblastoma, atypical osteoblastoma, and osteosarcoma: a comparative study based on clinical, histological, and biological parameters. Clinics (Sao Paulo) 2007; 62: 167-174.
https://doi.org/10.1590/S1807-59322007000200012
16. DORFMAN HD, WEISS SW. Bordeline osteoblastic tumors: problems in the differential diagnosis of agressive osteoblsatoma and low-grade osteosarcoma. Semin Diagn Pathol 1984; 1: 215-234.
17. JACKSON RP. Recurrent osteoblastoma: a review. Clin Orthop Relat Res 1978; 131: 229-233.
https://doi.org/10.1097/00003086-197803000-00037
18. ORTEGA A, GARCÍA A, CRESPO A. Osteoblastoma agresivo del hueso grande. Rev Iberoam Cir Mano 2012; 40: 42-46.
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