Hand tumor: presentation and differential diagnosis

Synovial hemangioma of the wrist with cystic invasion of trapezoid and capitate bones Zhao, X., Qi, C., Chen, J., Li, H., Zhang, Y., & Yu, T. Level of Evidence: 5 Follow recommendation: 👍 Type of study: Diagnostic/Therapeutic Incidence: Rare Topic: Synovial Haemangioma - Diagnosis and treatment This case report illustrated the diagnostic and therapeutic approach to a wrist synovial haemangioma in an 18 years old male patient. Synovial haemangiomas are rare benign tumours which usually affect children or young adults. Only 300 cases have been reported in the literature, most of which occurred in the knee. Symptoms vary and intermittent pain may be present or absent. Objectively, intermittent swelling and range of movement limitations may be present and can occur in absence of any traumatic event. In this case report, the patient had been having symptoms for 2 years. Computer tomography and MRI scans revealed an ill-defined soft tissue mass between scaphoid, trapezoid, and capitate, which was treated surgically. Clinical Take Home Message: Hand therapists should refer young children or teenagers for x-rays and ultrasound when there is evidence of an irregularly shaped, soft mass which appears to or is reported to have grown over time. The likelihood of identifying a synovial haemangioma is extremely rare, however, this work up would help differentiating among different conditions including ganglion cyst, rheumatoid arthritis, haematomas associated with haemophilia, infections or other rare forms of cancer. URL: https://www.jhandsurg.org/article/S0363-5023(18)30316-2/fulltext

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