Florid reactive periostitis of the middle phalanx: A case report and review of the literature

Florid reactive periostitis is an uncommon bone lesion that occurs most oft en in the phalanges of the hands and feet. Histologic evaluation is commonl y required to distinguish this benign lesion from clinically indistinguisha ble malignant and infectious etiologies. While the lesion is typically self -limiting or cured by simple excision, we report a case of aggressive recur rence following an excisional biopsy that ultimately led to ray amputation. (J Hand Surg 1999;24A:1014-1018. Copyright (C) 1999 by the American Societ y for Surgery of the Hand.)