Gunasagaran, Jayaletchumi and Chung, Weng Hong and Shivdas, Sachin and Amir, Shams and Khoo, Saw Sian and Chandran, Patricia Ann and Ahmad, Tunku Sara (2019) Intraosseous lesion of phalanx: Two similar cases but not the same. Journal of Health and Translational Medicine, 22 (2). pp. 1-3. ISSN 1823-7339, DOI https://doi.org/10.22452/jummec.vol22no2.1.
Full text not available from this repository.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.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Benign Bone Lesions; Epithelioid Hemangioma; Gout; Osteomyelitis of Phalanges |
| Subjects: | R Medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 03 Apr 2020 05:30 |
| Last Modified: | 03 Apr 2020 05:30 |
| URI: | http://eprints.um.edu.my/id/eprint/24135 |
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