Osteoid osteoma（OO）是一种常见的良性骨肿瘤。OO最常见于长骨，特别是胫骨和股骨。当OO出现在手骨中时，可能会成为诊断和治疗的挑战。本研究的目的是针对手骨中的OO提供一份系统的发生率、症状、诊断和治疗选择方面的综述。我们进行了一份文献系统评价。所有在网上数据库PubMed和SpringerLink中报告手骨中骨样骨瘤的病例的研究都被包含在内。通过总结文献，我们评估了手骨中的定位以及诊断和治疗选项。我们包括了133项研究，报告了401例病例。OO在指骨中最为常见。诊断通常是通过CT（计算机断层扫描）进行。多数OO通过开放刮匙或肿瘤离断术进行手术治疗。手骨中的骨样骨瘤很罕见，延误诊断是常见的。在疼痛伴随特定症状如指甲肥大和肿胀的情况下，应考虑OO。在许多成像方法中，CT扫描的敏感性最高。© 2023. The Author(s).

Osteoid osteoma (OO) is a common benign bone tumor. OO is observed most frequently in the long bones, especially in the tibia and femur. When occurring in the bones of the hand, OO can be a diagnostic and therapeutic challenge. The aim of this study was to provide a systematic review of occurrence, symptoms, diagnosis and treatment options regarding OO in hand bones.We performed a systematic review of the literature. All studies from the online databases PubMed and SpringerLink, which reported cases of osteoid osteomas in the bones of the hand, were included. By summarizing the literature, we evaluated the localization within the hand as well as diagnostic and therapeutic options.We included 133 studies reporting 401 cases. OO was mostly common in the phalanges. The diagnosis was mostly made by CT (computed tomography) scan. Most of the OO were treated surgically by open curettage or en bloc resection.Osteoid osteomas in the bones of the hand are rare and a delayed diagnosis is common. In cases of pain combined with particular symptoms such as nail hypertrophy and swelling OO should be considered. Of the most used imaging methods, CT scans have the highest sensitivity.© 2023. The Author(s).