• Arch Orthop Trauma Surg · Jun 2017

    Case Reports

    Unusual cause of the thumb basal joint pain: osteoid osteoma of the trapezium.

    • Ji Hun Park, Tae Wook Kang, and Jong Woong Park.
    • Department of Orthopaedic Surgery, College of Medicine, Korea University Anam Hospital, 73, Inchon-ro, Sungbuk-gu, Seoul, 06334, Korea.
    • Arch Orthop Trauma Surg. 2017 Jun 1; 137 (6): 875-878.

    AbstractThe trapezium is rare site of osteoid osteoma development. The diagnostic challenge lies in its rare occurrence, and requires differentiation from various disease entities causing thumb basal joint pain. We report the case of a 29-year-old male who presented with severe thumb basal joint pain. He was initially treated for calcific periarthritis because of concomitant calcifications around the thumb basal joint, but had undiscovered osteoid osteoma. A high index of suspicion to a patient with wrist pain unresponsive to prior treatment is necessary for diagnosis of osteoid osteoma.

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