Osteoid Osteoma of the Distal Phalanx of the Ring Finger with Clubbed Finger Deformity: A Case Report.

ABSTRACT

Osteoid osteoma of the distal phalanx is very rare. We describe a case of osteoid osteoma of the distal phalanx of the ring finger with clubbed finger deformity that improved after tumour removal. A 50-year-old left-handed man presented with a history of right ring finger pain without any trauma. The distal phalanx of the ring finger had tender, redness, and a clubbed finger deformity. Plain radiography indicated a circular radiolucent area in the centre of the lesion. Computed tomography and gadolinium enhanced magnetic resonance imaging indicated presence of a nidus. The lesion was removed via the transungual approach. Histopathological examination confirmed the presence of an osteoid osteoma. His pain was immediately relieved after surgery. At the 2-year followup, he had no pain and the clubbed finger deformity had improved. In cases where clubbed finger deformity involves only one finger, the possibility of chronic osteomyelitis or osteoid osteoma should be considered.