INTRAOSSEOUS LESION OF PHALANX: TWO SIMILAR CASES BUT NOT THE SAME
- Author:
Jayaletchumi G
1
;
Chung WH
1
;
Sachin S
1
;
Amir S
1
;
Khoo SS
1
;
Chandran PA
2
;
Ahmad TS
1
Author Information
1. National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
2. Department of Pathology, Faculty of Medicine, University Malaya, 50603 Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
Gout;
Epithelioid Hemangioma;
Osteomyelitis of Phalanges;
Benign Bone Lesions
- From:Journal of University of Malaya Medical Centre
2019;22(2):1-3
- CountryMalaysia
- Language:English
-
Abstract:
Intraosseous lesions at phalanges are rare. They frequently present with pain and swelling. Fortunately, the majority of the lesions are benign. However, some lesions are destructive and early interventions are required. We report two cases of similar presentations of swelling and discomfort at the little finger for six months. The lytic lesions involved the whole middle phalanx with cortical breach sparing the joints. A provisional diagnosis of osteomyelitis was made, although unlikely. Bone biopsy was performed early to plan for definitive treatment and surgery. Patient 1 was diagnosed for intraosseous gout whereas Patient 2 for epithelioid hemangioma. Both were benign destructive bone lesions. Thus, we counselled the patients for curettage of lesion, bone grafting and spanning external fixation in view of extensive lesion. Patient 1 defaulted treatment. Patient 2 had an uneventful surgery. She regained her grip strength. In two years follow up, there was no evidence of infection, recurrence or malignant transformation.
- Full text:10.2019.my001.pdf
