Abstract

Aim: Osteoid osteoma is a very rare benign bone tumor of the hand. Most of the time it is not difficult to reach the diagnosis in patients who have classical presentation. However, osteoid osteoma may be difficult to diagnose in patients with atypical clinical and radiological findings. Material and Method: Twenty patients with the diagnosis of osteoid osteoma of the hand were evaluated retrospectively. The mean follow-up period was 19,8 (min 13, max 38) months. There were 12 male, 8 female patients. The average age was 17,5 (min 12, max 32). Findings: Localizations of tumors were as follows: 11 proximal, 4 middle, and 2 distal phalanx, 1 scafoid, 2 metacarp. 18 patients were treated with intralesional curettage and remaining 2 were treated with wide resection. There was no recurrence in follow-up examinations. Two patients had a history of trauma from the same region. Conclusion: It may not be very easy to reach the correct diagnosis in patients with a history of trauma. In parallel, the adequate treatment can not be provided. In this study the relationship between osteoid osteoma and trauma was evaluated in the light of previous studies. Osteoid osteoma should be considered in patients who has history of trauma and persistant pain despite treatment.