Solitary Osteochondroma of the Trapezium: Case Report

doi:10.1016/j.jhsa.2010.12.005

The Journal of Hand Surgery

Volume 36, Issue 3, March 2011, Pages 428-431

https://doi.org/10.1016/j.jhsa.2010.12.005 Get rights and content

Osteochondroma of the carpal is rare. We found only 1 case of osteochondroma of the trapezium in the literature. We present a case of a 52-year-old woman with an osteochondroma of the left trapezium and trapeziometacarpal arthritis.

Section snippets

Case Report

In December 2008, a 52-year-old, right hand–dominant woman was referred to our hospital reporting pain and tenderness in the left trapeziometacarpal joint. She initially noticed discomfort with no major trauma in 2006. The symptom had increased over time, changing to pain and subsequent difficulty of grasp motion. During physical examinations, we noted slight swelling, motion pain, and tenderness around the left trapeziometacarpal joint. The active range of motion of the left thumb

Discussion

Osteochondroma of the carpal is extremely rare. Our literature search revealed 21 cases of osteochondroma occurring in carpals, including 15 cases of scaphoid,4, 5, 6, 8 3 of capitates,9, 11 and 1 each of lunate,¹² hamate,¹³ and trapezium.¹⁴ Most osteochondromas develop in the scaphoid. Only 1 case of osteochondroma originating from the trapezium has been reported. The mean age of patients with carpal osteochondromas in previous reports was 50 years (range, 14–84 y). Complications have been

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Cited by (6)

Solitary osteochondroma in the pisiform bone with pisotriquetal osteoarthritis. A case study
2021, Revista Espanola de Cirugia Ortopedica y Traumatologia
El osteocondroma es el tumor óseo más común, siendo la localización más frecuente en huesos largos. Sin embargo, existen casos descritos en el escafoides, hueso grande, semilunar, trapecio y trapezoide que pueden ser una de las causas de dolor en mano y muñeca. Los osteocondromas pueden aparecer de forma concomitante con otros procesos traumáticos o degenerativos o generar complicaciones en las estructuras contiguas. A continuación, presentamos un osteocondroma en el pisiforme asociado a una artrosis piso-piramidal.
Osteochondroma is the most common bone tumour, which appears most commonly in the long bones. However, cases have been described in the scaphoid, capitate, lunate, trapezium, and trapezoid bones, which can be a cause of pain in the hand and wrist. Osteochondromas can occur concomitantly with other traumatic or degenerative processes or generate complications in adjacent structures. Below we present an osteochondroma in the pisiform bone associated with pisotriquetral osteoarthritis.
Solitary osteochondroma of the capitate, in a child
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Citation Excerpt :
Only sporadic cases have been reported for solitary osteochondromas arising from carpal bones. Lesions involving the scaphoid, the capitate, the lunate, the hamate and the trapezoid have been reported.1–9 Although osteochondromas are benign tumors of children, in almost all cases in the literature, osteochondromas of the carpal bones are discovered in adult age.
Osteochondromas, are the most common tumors of the long bones in children. Osteochondromas are extremely rare in the carpal bones. They are diagnosed in adult life, in almost all cases in the literature. We report a 7 year old boy, who presented with a hard mass on the dorsum of his hand, with decreased wrist movements. Radiological examination showed a calcified tumor of the second row of the carpal bones, with spherical shape and covered with cartilage. He was surgically treated with removal of a cartilaginous mass that was arising from the capitate. Pathology confirmed the diagnosis of an osteochondroma.
A giant multi-lobed osteochondroma of the phalanx in an adult: A case report
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Citation Excerpt :
Distal phalangeal tumors almost always arise subungually and cause nail deformity [2]. Tumors arising from the carpal bones may cause extensor tendon rupture [3], carpal tunnel syndrome [4], or pain [5]. In this paper, we present a rare case of a giant multi-lobed osteochondroma of the phalanx developing in an adult.
Solitary osteochondromas of the adult hand are extremely rare. We present a case of a giant multi-lobed osteochondroma of the phalanx in an adult. No similar cases were found in the literature.
A 25-year old male presented with a giant multi-lobed osteochondroma arising from the base of the middle phalanx; causing limitations of motion of the proximal interphalangeal joint (PIPJ). The patient refused complete excision, bone grafting and possible fusion of the PIPJ. Marginal resection resulted in recovery of almost full range of motion. There was no recurrence up to the 8-month follow-up visit.
The case was compared to previously reported cases of ostechondroma of the hand. The management is discussed along with differentiating large osteochondromas from Nora’s lesions in the hand.
A rare case of a large multi-lobed osteochondroma of the phalanx in an adult is presented and the management is discussed.
Solitary osteochondroma of the trapezoid disguised as a tooth fragment
2015, BMJ Case Reports
Benign bony lesions
2015, The Pediatric Upper Extremity
Solitary osteochondroma of the distal radius: A rare cause of carpal tunnel syndrome diagnosed using ultrasound
2014, Journal of Clinical Ultrasound

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Scientific articleSolitary Osteochondroma of the Trapezium: Case Report

Section snippets

Case Report

Discussion

Benign cartilaginous exostoses

Primary neoplasms of the carpal bones

J Hand Surg

Bilateral scaphoid exostoses

J Hand Surg

Osteochondroma of the carpal scaphoid

J Hand Surg

Solitary osteochondroma of the scaphoid: a case report

J Hand Surg

Bilateral osteochondroma of the scaphoid causing scapholunate dissociation: a case report

Chir Main

Scaphoid exostosis causing rupture of the flexor pollicis longus

Acta Orthop Belg

Osteochondroma arising from the scaphoid

J Orthop Sci

A solitary osteochondroma of the capitate bone: a case report

J Hand Surg

Scientific article
Solitary Osteochondroma of the Trapezium: Case Report