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J Wrist Surg 2024; 13(06): 534-549
DOI: 10.1055/s-0043-1770792
Survey or Meta-Analysis

Distribution and Characteristics of Carpal Bone Tumors: A Systematic Review

Morad Chughtai
1   Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida
,
Adrienne M. Orriols 
2   Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida
,
Supreeya A. Saengchote
2   Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida
,
Jongmin Kim
1   Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida
,
Thomas W. Wright
1   Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida
,
Paul C. Dell
1   Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida
,
Robert C. Matthias
1   Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida
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Abstract

Background Carpal bone tumors are rare in the literature, making it difficult to identify their clinical presentation.

Purpose This systematic review analyzes the characteristics of published carpal bone tumor cases to identify the most frequent patterns in diagnoses. Attention is paid to the carpal bone involved and type, and patient demographics was performed to summarize published findings.

Methods A systematic review was searched on PubMed, Ovid, and Cochrane databases gathering literature on carpal bone tumors. After applying specific criteria, final analysis of the literature yielded 151 patients with 156 carpal bone neoplasms.

Results The most common carpal bones involved were the scaphoid (48, 31%), capitate (31, 20%), and hamate (24, 15%). Benign tumors represented the largest majority (133, 85%), followed by metastatic (17, 11%) and primary malignant (7, 5%). The most frequent tumor types were osteoid osteoma (37, 24%), osteoblastoma or giant cell tumor (24, 15%), intraosseous ganglia (21, 13%), and chondroblastoma (14, 9%). Within the metastatic category, most tumors derived from lung carcinoma (10, 59%), followed by renal cell carcinoma (2, 12%). There were three types within the malignant category: chondrosarcoma (3, 43%), hemangioendothelial sarcoma (3, 43%), and osteosarcoma (1, 14%).

Conclusion The most frequent carpal bones observed were the scaphoid, capitate, and hamate. Most tumors were benign. The most common tumor types were osteoid osteoma, osteoblastoma, and giant cell tumor. Metastatic carpal tumors were most commonly from lung carcinoma. Chondrosarcoma and hemangioendothelial sarcoma were the most common primary malignancies.

Keywords

bone neoplasms - carpal bones - tumors - wrist


Publication History

Received: 07 March 2023

Accepted: 22 May 2023

Article published online:
28 June 2023

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