Display options
Share it on

Shoulder Elbow. 2014 Apr;6(2):134-6. doi: 10.1177/1758573214522019. Epub 2014 Mar 03.

Glomus tumour of the elbow: a case of mistaken identity.

Shoulder & elbow

Nasri Zreik, Christopher Talbot, Chris Peach

Affiliations

  1. Royal Bolton Hospital NHS Foundation Trust, Bolton, Lancashire, UK.
  2. University Hospital of South Manchester NHS Foundation Trust, Manchester, UK.

PMID: 27582928 PMCID: PMC4935074 DOI: 10.1177/1758573214522019

Abstract

Glomus tumours are small vascular tumours that are usually benign and rarely occur. However, atypical locations of these tumours can lead to misdiagnosis, particularly where the lesion is rarely reported. We report a case of glomus tumour located on the posterior aspect of the elbow, which was mistaken for, and treated as the commonly diagnosed, olecranon bursitis for several years. With worsening symptoms, mainly pain, pinpoint tenderness and hypersensitivity, the patient was referred for a further opinion, and the lesion was diagnosed as a glomus tumour following complete excision under anaesthesia. This present case highlights the importance in considering this rare entity in the differential diagnosis of posterior elbow swelling and pain. Furthermore, this report provides a review of the literature and identifies the need for early specialist referral to confirm diagnosis, alleviate patient symptoms and improve function.

Keywords: Glomus tumour; elbow; misdiagnosis

References

  1. Am J Surg Pathol. 2002 Mar;26(3):301-11 - PubMed
  2. Scand J Plast Reconstr Surg Hand Surg. 2001 Dec;35(4):429-31 - PubMed
  3. Radiology. 2002 Apr;223(1):143-51 - PubMed
  4. J Shoulder Elbow Surg. 2003 Jul-Aug;12(4):401-2 - PubMed
  5. Orthop Clin North Am. 1992 Jan;23(1):187-96 - PubMed
  6. J Hand Surg Br. 2005 Oct;30(5):535-40 - PubMed
  7. J Hand Surg Am. 2006 Oct;31(8):1397-400 - PubMed
  8. Mayo Clin Proc. 2006 Oct;81(10):1337-44 - PubMed
  9. J Shoulder Elbow Surg. 2009 Jan-Feb;18(1):e1-3 - PubMed
  10. Sarcoma. 2003;7(2):87-91 - PubMed
  11. Arch Pathol Lab Med. 2008 Sep;132(9):1448-52 - PubMed
  12. Can J Plast Surg. 2006 Winter;14(4):237-8 - PubMed
  13. Kobe J Med Sci. 2009 Jun 05;55(1):E1-4 - PubMed
  14. J Clin Diagn Res. 2012 Nov;6(9):1559-61 - PubMed
  15. BMJ Case Rep. 2013 Jan 03;2013:null - PubMed
  16. J Hand Surg Am. 2013 Aug;38(8):1571-4 - PubMed
  17. Arch Plast Surg. 2013 Jul;40(4):392-6 - PubMed
  18. Cancer. 1988 Apr 1;61(7):1467-71 - PubMed
  19. Edinb Med Surg J. 1812 Jul 1;8(31):283-291 - PubMed
  20. J Bone Joint Surg Am. 1972 Jun;54(4):691-703 - PubMed
  21. Radiology. 1995 May;195(2):507-15 - PubMed
  22. J Hand Surg Br. 1993 Aug;18(4):482-3 - PubMed

Publication Types