Artigo Acesso aberto Produção Nacional Revisado por pares

Periostite reativa florida da falange proximal – relato de caso e revisão de literatura

2019; Thieme Medical Publishers (Germany); Volume: 54; Issue: 03 Linguagem: Inglês

10.1055/s-0039-1692430

ISSN

1982-4378

Autores

José Neias Araújo Ribeiro, Maria Luzete Costa Cavalcante, Diogo Araujo Farias, Rudy Diavila Bingana,

Tópico(s)

Orthopedic Surgery and Rehabilitation

Resumo

Florid reactive periostitis is a benign and rare lesion that is a recurrent diagnostic problem. Its etiopathogenesis remains unknown. Florid reactive periostitis consists of a fibrotic, cartilage-producing tumor accompanied by an aggressive inflammatory periosteal and soft tissue reaction. It typically occurs in adolescents and young adults, mostly female; it often affects hand and foot bones, and it may occur in long bones. Its diagnosis remains a major challenge due to the vast possibility of differential diagnoses. Therefore, careful clinical, radiological, and pathological evaluation is required to establish a proper diagnosis. We report the case of a patient with florid reactive periostitis in the proximal phalanx of the right index finger, who underwent surgical excision with a wide margin, from the second ray to the proximal third of the second metacarpal bone, and evolved without complications, with satisfactory range of motion and strength.

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