Abstract
Osteoblastoma of the scaphoid is an infrequent cause of hand and wrist pain. The few reported cases emphasize the rarity of osteoblastoma in hand and wrist localizations. Pathological examination is mandatory before treatment due to lack of distinctive clinical and radiological features. We report the case of a 17-year-old right-handed girl who presented with a more than 7-month history of progressive right-wrist pain. No history of trauma was reported. Conservative treatment with anti-inflammatory medications before referral was unsuccessful. The authors present the diagnostic difficulties and the treatment that was applied: proximal row carpectomy. Treatment options, according to the literature, also include scaphoidectomy and tumor curettage with bone grafting.
References
Lichtenstein L (1956) Benign osteoblastoma. A category of osteoid and bone forming tumors other than classical osteoid osteoma, which may be mistaken for giant cell tumor or osteogenic sarcoma. Cancer 9:1044–1050
Jaffe HL (1956) Benign osteoblasma. Bull Hosp Joint Dis 17:141–151
Dahlin DC, Johnson EW (1954) Giant osteoid osteoma. J Bone Joint Surg Am 36:559–572
Berry M, Mankin H, Gebhardt M, Rosenberg A, Hornicek F (2008) Osteoblastoma: a 30-year study of 99 cases. J Surg Oncol 98(3):179–183
Fanning JW, Lucas GL (1993) Osteoblastoma of the scaphoid: a case report. J Hand Surg [Am] 18(4):663–665
Kroon HM, Schurmans J (1990) Osteoblastoma: clinical and radiologic findings in 98 new cases. Radiology 175:783–790
Lucas DR, Unni KK, McLeod RA, O’Connor M, Sim FH (1994) Osteoblastoma: clinicopathologic study of 306 cases. Hum Pathol 25:117–134
Bonnevialle P, Railhac JJ (2001) Osteome osteoïde, osteoblastome. Appareil locomoteur 14:712
Castello JR, Garro L, San Miguel P, Campo M (1996) Osteoblastoma of the scaphoid long term results following curettage: a case report. J Hand Surg [Am] 21(3):426–427
Meade RA, Allende CA, Tsai TM (2005) Osteoblastoma of the scaphoid: a case report. J Surg Orthop Adv 14(3):125–128
Ragois P, Leclerc P, Hallonet D (2000) Aggressive osteoblastoma of the carpal scaphoid bone. Rev Chir Orthop 86(1):94–97
Xarchas KC, Leviet D (2002) Osteoblastoma of the carpal scaphoid frequency and treatment. Acta Orthop Belg 68(5):532–536
Jamshidi K et al (2009) Osteoblastoma of the scaphoid bone—a rare case report. JRMS 14(2):135–138
Jaffee HL, Mayer L (1932) An osteoblastic osteoid tissue forming tumor of a metacarpal bone. Arch Surg 24:550–564
Park YB, Kim HS, Oh JH, Lee SH (2010) The co-expression of p53 protein and p-glycoprotein is correlated with a poor prognosis in osteosarcoma. Int J Surg Pathol 18(3):219–224
Giovanna G, Holt GE, Homlar KC, Johnson Joyce et al (2009) Osteoblastoma characterized by a three-way translocation: report of a case and review of the literature. Cancer Genet Cytogenet 195(2):168–171
Dorfman HD, Weiss SW (1984) Borderline osteoblastic tumors: 8 problems in the differential diagnosis of aggressive osteoblastoma and low-grade osteosarcoma. Semin Diagn Pathol 1:215–234
Van Dijk M, Winters HA, Wuisman PI (1999) Recurrent osteoblastoma of the hamate bone, a two-stage reconstruction with a free vascularized iliac crest flap. J Hand Surg [Br] 24(4):501–505
Jackson RP (1978) Recurrent osteoblastoma. Clin Orthop 131:229–233
Bahouq H, Allali F, Hajjaj-Hassouni N (2011) Osteoblastoma of scaphoid of the carpus: a case report. Pan Afr Med J (Uganda) 8:39
Calandruccio JH (2001) Proximal row carpectomy. J Am Soc Surg Hand 1(2):112–122
Conflict of interest
The authors declare no competing interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rhanim, A., El Bardouni, A., Dlimi, F. et al. Osteoblastoma of the carpal navicular: a case report and review of the literature. Eur J Orthop Surg Traumatol 23 (Suppl 2), 213–218 (2013). https://doi.org/10.1007/s00590-012-1030-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-012-1030-z