Intraosseous lesion of phalanx: Two similar cases but not the same
Document Type
Article
Publication Date
1-1-2019
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. © 2019, Faculty of Medicine, University of Malaya. All rights reserved.
Keywords
Benign Bone Lesions, Epithelioid Hemangioma, Gout, Osteomyelitis of Phalanges
Divisions
fac_med
Publication Title
Journal of Health and Translational Medicine
Volume
22
Issue
2
Publisher
University of Malaya Medical Centre