PMC4623538_01
Magnetic resonance imaging view showing the patient's wrist before first operation. Misdiagnosis had occurred due to this view in another hospital.
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The patient's previous X-ray studies were normal but magnetic resonance imaging (MRI) showed severe bony edema at lunatum (Figure 1).
X-ray showing the patient's wrist after the first operation. Radial shortening and also the donor site of the bone flap can be seen.
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Donor site of vascularized bone graft at distal radius and plate-screws at radius diaphysis were clearly seen in his previous postoperative X-rays (Figure 2).
Preoperative computed tomography scan showing the patient's wrist before second surgery. Nidus of the osteoma can easily be seen.
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CT showed the nidus, as a demarcated lucent lesion, with sclerosis around it (Figure 3).
Intraoperative view showing the tumor and nidus.
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A curettage procedure was performed in order to resect the nidus through prior incision, which was on the dorsolateral surface of the wrist (Figure 4).