CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(03): 335-338
DOI: 10.1055/s-0039-1692430
Relato de Caso | Case Report
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Florid Reactive Periostitis of the Proximal Phalanx—Case Report and Literature Review[*]

Article in several languages: português | English
José Neias Araujo Ribeiro
1  Departamento de Ortopedia, Universidade Federal do Ceará, Hospital Walter Cantídio, Fortaleza, CE, Brasil
,
1  Departamento de Ortopedia, Universidade Federal do Ceará, Hospital Walter Cantídio, Fortaleza, CE, Brasil
,
Diogo Araujo Farias Junior
1  Departamento de Ortopedia, Universidade Federal do Ceará, Hospital Walter Cantídio, Fortaleza, CE, Brasil
,
Rudy Diavila Bingana
2  Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil
› Author Affiliations
Further Information

Publication History

28 July 2017

02 July 2018

Publication Date:
27 June 2019 (online)

Abstract

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.

* Work performed at Universidade Federal do Ceará, Hospital Walter Cantídio, Fortaleza, Ceará, Brazil.