Radiological Case: Radiofrequency Ablation of an Osteoid Osteoma of the Metacarpal

Ryan Bailey, MD; Nathan J. Siesener, BS; Ryan M. Davis, MD; David M. Brogan, MD, MSc


Appl Radiol. 2019;48(1):45-47. 

In This Article

Case Summary

A healthy, 20-year-old, right-hand-dominant male presented to the hand clinic with a 10-month history of right-hand numbness and pain. The pain worsened at night and with activity, radiating to the first webspace and the fourth and fifth fingers. Opening doors, jars and using keys proved difficult. Ice provided no relief, and NSAIDs only mild improvement.

On physical exam, the patient had tenderness over the first webspace and the right cubital tunnel. Tinel, Phalen, and Spurling signs were negative bilaterally. A flexion/compression test on the right was positive. Grip strength was 38 kg on the left and 18 kg on the right.

Given the patient's vague radiating pain, a presumptive diagnosis of cubital tunnel syndrome was made. Nerve conduction studies demonstrated no evidence of compressive neuropathy.