Florid Reactive Periostitis of the Proximal Phalanx-Case Report and Literature Review

• Autor(a) principal: Ribeiro,José Neias Araujo
• Data de Publicação: 2019
• Outros Autores: Cavalcante,Maria Luzete Costa, Farias Junior,Diogo Araujo, Bingana,Rudy Diavila
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista Brasileira de Ortopedia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300335
• topic: finger phalanges; periostitis; bone neoplasms

Abstract Florid reactive periostitis is a benign andrare 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 patientwith 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 secondmetacarpal bone, and evolved without complications,with satisfactory range of motion and strength.