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Pannu CD, Hess M, Baxter D. Osteoid osteoma presenting with scoliosis: successful resection with endoscopic excision. BMJ Case Rep 2024; 17:e258346. [PMID: 38453226 PMCID: PMC10921494 DOI: 10.1136/bcr-2023-258346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024] Open
Abstract
A young male in his mid-teen years presented with severe back pain for 3 months and was subsequently diagnosed with osteoid osteoma in the left superior articular process of the L4 vertebra. Initial treatment with non-steroidal anti-inflammatory drugs provided temporary relief. Due to concerns about scoliosis progression along with unrelieved pain, a multidisciplinary team recommended endoscopic excision of the osteoid osteoma. The procedure resulted in complete pain relief and an improvement in the scoliosis curve from 22° of Cobb's angle to 12 degrees at the 8-month follow-up.
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Affiliation(s)
- Chaitanya Dev Pannu
- Specialist Surgery, Royal National Orthopaedic Hospital NHS Trust, London, UK
| | | | - David Baxter
- Neurosurgery, Royal National Orthopaedic Hospital NHS Trust, London, UK
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2
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Ulus SA, Özkul E. The importance of low visfatin values in osteoid osteoma patient: a prospective study. Eur Rev Med Pharmacol Sci 2023; 27:11543-11549. [PMID: 38095401 DOI: 10.26355/eurrev_202312_34592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
OBJECTIVE Visfatin is currently a cytokine that is extensively researched in the field of bone diseases. In this prospective study, we aimed to investigate the potential of serum visfatin levels as a biomarker for the diagnosis of osteoid osteoma. PATIENTS AND METHODS This study included a cohort of 20 patients diagnosed with osteoid osteoma (Group 1) and 30 healthy individuals (Group 2). The age, gender, cyst sizes, and visfatin values of all participants were documented and analyzed. RESULTS There was a significant difference in visfatin levels between the two groups. The median visfatin level in Group 1 was 6.13 ng/ml (IQR: 4.21-8.08), while in Group 2, it was 15.83 ng/ml (IQR: 11.11-20.6). The difference was statistically significant (p<0.000). The optimal cut-off value for visfatin was found to be 7.74 ng/ml, which had a 93% sensitivity and 78% specificity. An area under the curve of receiver operating characteristic (ROC) analysis of 0.85 indicates good diagnostic performance. CONCLUSIONS Our study revealed a significant decrease in visfatin levels among patients diagnosed with osteoid osteomas in comparison to the healthy control group. The ROC analysis revealed that visfatin exhibited a commendable diagnostic capacity, indicating its potential utility as a biomarker for osteoid osteoma.
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Affiliation(s)
- S A Ulus
- Department of Orthopedics and Traumatology, Dicle University Medical School, Diyarbakır, Turkey.
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3
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Blackburn PR, Douglass DP, Ramakrishnaiah RH, Montgomery CO, Shi Z, Wheeler DA, Koo SC. Neonatal osteoblastic tumor with a novel PTBP1::FOSB fusion. Genes Chromosomes Cancer 2023; 62:611-616. [PMID: 37132513 DOI: 10.1002/gcc.23149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 04/18/2023] [Accepted: 04/24/2023] [Indexed: 05/04/2023] Open
Abstract
Congenital/neonatal bone neoplasms are extremely rare. We present the case of a patient with a neonatal bone tumor of the fibula that had osteoblastic differentiation and a novel PTBP1::FOSB fusion. FOSB fusions are described in several different tumor types, including osteoid osteoma and osteoblastoma; however, these tumors typically present in the second or third decade of life, with case reports as young as 4 months of age. Our case expands the spectrum of congenital/neonatal bone lesions. The initial radiologic, histologic, and molecular findings supported the decision for close clinical follow-up rather than more aggressive intervention. Since the time of diagnosis, this tumor has undergone radiologic regression without treatment.
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Affiliation(s)
- Patrick R Blackburn
- Department of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA
| | - David P Douglass
- Department of Pediatrics, Hematology/Oncology Section, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Raghu H Ramakrishnaiah
- Department of Pediatric Radiology, Arkansas Children's Hospital, Little Rock, Arkansas, USA
| | - Corey O Montgomery
- Department of Orthopedics, Arkansas Children's Hospital, Little Rock, Arkansas, USA
| | - Zonggao Shi
- Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA
| | - David A Wheeler
- Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA
| | - Selene C Koo
- Department of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA
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4
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Bews EA, Aytek AI, Yavuz AY, Kaya EH, Savran G, Kalata M, Bethard JD. Differential diagnosis of an osseous cranial tumor from Hellenistic Muğla, Turkey. Int J Paleopathol 2023; 40:103-108. [PMID: 36724548 DOI: 10.1016/j.ijpp.2023.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 01/21/2023] [Accepted: 01/21/2023] [Indexed: 06/18/2023]
Abstract
OBJECTIVE This project evaluates a cranial lesion from a Hellenistic-era individual excavated by the Muğla Archaeological Museum in Gülağzı, Turkey. MATERIALS An osseous tumor measuring 3.02 × 3.54 × 2.98 cm originating from the occipital bone of a probable young adult male. METHODS The tumor was examined using gross morphological inspection, plain radiography (x-ray), and computed tomography (CT) imaging to identify potential differential diagnoses for the osseous cranial tumor. RESULTS The lesion in question displays features highly consistent with both osteoid osteoma and osteoblastoma. The tumor had a non-sclerotic, sharply demarcated border, a radiolucent nidus measuring less than 2 centimeters in diameter, and homogeneous sclerotic bone surrounding the nidus. CONCLUSIONS Differential diagnosis determined the osseous tumor to be a benign neoplasm, and in this case the features of the tumor are highly consistent with a diagnosis of either osteoblastoma or osteoid osteoma. SIGNIFICANCE The identification of novel neoplastic cases in paleopathology represents an important contribution to ongoing discussions regarding the temporality and regional variability of neoplastic conditions in the past. Additionally, a rigorous diagnostic study augmented by x-ray, CT scans, and 3D modeling provides data that can be utilized in future paleopathological studies. LIMITATIONS Diagnostic interpretation would be aided by histological examination of the tumor, which was impossible in this case. Histological examination would provide a definitive diagnosis. SUGGESTIONS FOR FURTHER RESEARCH Given the high incidence of benign tumors in the clinical literature but a paucity of reports in the paleopathological record, further research is indicated to better understand the implications of benign neoplasms in antiquity.
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Affiliation(s)
| | | | | | | | | | - Megan Kalata
- Creighton University School of Medicine, United States
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5
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Ahmed F, Mirza HH, Rana ZA, Ghauri N. Osteoid Osteoma of Retromolar Trigone: Report of a Rare Case. J Coll Physicians Surg Pak 2022; 32:S162-S164. [PMID: 36210682 DOI: 10.29271/jcpsp.2022.supp2.s162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 11/22/2020] [Indexed: 06/16/2023]
Abstract
Osteoid osteoma is a rare benign bone lesion that is often confused with the osteoblastoma. The osteoid osteoma comprises of 3% of all the primary bone tumours usually found in the long bones and vertebrae with the facial skeleton being the most infrequent site. The lesion usually presents with the swelling and pain that resolves with non-steroidal anti-inflammatory drugs (NSAIDs). Here, we report a case of osteoid osteoma of retromolar trigone, the site which has not been reported in the literature, in a 50-year male patient with a complaint of hard swelling on retromolar trigone associated with the mild intermittent localised pain that aggravated at night and on mastication. Excision of the lesion was carried out with chisel and mallet under local anesthesia with uneventful recovery and no recurrence at the 6 months follow-up. Key Words: Benign, Osteoid osteoma, Retromolar trigone.
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Affiliation(s)
- Faheem Ahmed
- Department of Oral and Maxillofacial Surgery, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
| | - Hamza Hassan Mirza
- Department of Oral and Maxillofacial Surgery, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
| | - Zahoor Ahmed Rana
- Department of Oral and Maxillofacial Surgery, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
| | - Noaman Ghauri
- Department of Oral and Maxillofacial Surgery, Fatima Memorial College of Medicine and Dentistry, Lahore, Pakistan
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6
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Cavalcante MM, Silveira CRS, da Costa CR, Távora DGF, Alencar CHMF, Teixeira MJD, Chhabra A. Tumors and pseudotumors of foot and ankle: Bone lesions. Foot (Edinb) 2021; 49:101845. [PMID: 34560430 DOI: 10.1016/j.foot.2021.101845] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 06/22/2021] [Accepted: 06/24/2021] [Indexed: 02/04/2023]
Abstract
Bone tumors and tumor-like lesions (pseudotumors) are not uncommonly encountered as asymptomatic findings on imaging, or as symptomatic lesions clinically. Radiographic imaging is the first diagnostic tool for their management strategy, since the symptoms are commonly non-specific, such as pain, swelling, and redness. Image findings must be analyzed with attention to the specific features such as lesion location, margination, zone of transition, mineralization, size and multifocality, soft tissue component and/or loco-regional extent. Cross-sectional imaging including CT and MRI serve as complementary methods, providing additional information with respect to the lesion characterization, mineralization, extent and involvement of the adjoining soft tissues. Clinical and/or key imaging features aid in limiting the differential diagnostic possibilities and serve as a guide in determining the benignity or malignancy of the tumor as well as to exclude pseudotumors. This article reviews the key imaging features of foot and ankle lesions. Benign bone lesions include simple and aneurysmal bone cysts, lipoma, hemangioma, chondroblastoma, enchondroma, osteoid osteoma, osteoblastoma, and giant cell tumor. Locally aggressive intermediate category lesion includes hemangioendothelioma. Malignant lesions include osteosarcoma, Ewing's sarcoma, chondrosarcoma. Pseudotumors such as fibrous dysplasia, hemophilic pseudotumor, gout and Madura foot are also discussed with illustrative case examples.
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Affiliation(s)
- Matheus Martins Cavalcante
- Musculoskeletal Imaging Division, São Carlos Imagem/São Carlos Hospital, Fortaleza, Ceará, Brazil; Radiology Department, São Carlos Imagem/São Carlos Hospital, Rua Otoní Façanha de Sá, 69, Fortaleza, Ceará, Brazil.
| | - Cláudio Régis Sampaio Silveira
- Musculoskeletal Imaging Division, São Carlos Imagem/São Carlos Hospital, Fortaleza, Ceará, Brazil; Radiology Department, São Carlos Imagem/São Carlos Hospital, Rua Otoní Façanha de Sá, 69, Fortaleza, Ceará, Brazil.
| | - Cristiane Rocha da Costa
- Radiology Department, São Carlos Imagem/São Carlos Hospital, Rua Otoní Façanha de Sá, 69, Fortaleza, Ceará, Brazil.
| | | | | | | | - Avneesh Chhabra
- Radiology & Orthopeadic Surgery, UT Southwestern, 5323 Harry Hines Blvd, Dallas, TX, United States.
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7
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Chandwar K, Lathiya H, Gohel A, Shah C. Sacral osteoid osteoma: a rare cause of inflammatory back pain and sacroiliitis in a young man. BMJ Case Rep 2021; 14:e244074. [PMID: 34380684 PMCID: PMC8359513 DOI: 10.1136/bcr-2021-244074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2021] [Indexed: 11/03/2022] Open
Affiliation(s)
- Kunal Chandwar
- Department of Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Harsh Lathiya
- Department of Radiology, Zydus Research Center, Ahmedabad, Gujarat, India
| | - Abhishek Gohel
- Department of Neurology, NIMHANS, Bangalore, Karnataka, India
| | - Chandani Shah
- Department of Neurology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India
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8
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Somma F, Stoia V, D’Angelo R, Fiore F. Imaging-guided radiofrequency ablation of osteoid osteoma in typical and atypical sites: Long term follow up. PLoS One 2021; 16:e0248589. [PMID: 33735214 PMCID: PMC7971862 DOI: 10.1371/journal.pone.0248589] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 03/01/2021] [Indexed: 11/25/2022] Open
Abstract
Purpose To assess efficacy and safety of imaging-guided radiofrequency ablation (RFA) of Osteoid Osteoma (OO) in both typical and atypical sites. Methods and materials Between January 2014 and March 2019, 102 consecutive percutaneous RFA were performed and retrospectively reviewed. The procedures were performed using a RFA bipolar ablation system (Covidien, exposed tip of 0.7-1cm), under Computed Tomography (CT) guidance or using a navigation system (Masmec) under CT and Cone Beam CT (CBCT) guidance. Patients were followed up over 24 months. Clinical success and recurrences were considered on the base of established criteria. In patients with clinical failure and/or imaging evidence of relapse, retreatment was considered. Results Administered power per-procedure was ≤8 W (mean temperature, 90°C). The pre-procedure average value of visual analog scale (VAS) was 8.33+/-0.91. Primary and secondary success rate 96.08% (98/102) and100% (102/102), respectively. No major complication was described. Technical success was proved in every patient by CT scan acquisition after needle positioning. Relapse and tumour location were significantly correlated (p-value = 0.0165). The mean dose-length product was 751.55 mGycm2. Advanced bone healing was noted in 68 lesions after 1y-follow up and in 86 lesions after 2y-follow up. Conclusion Imaging-guided percutaneous RFA is a highly effective technique for OO, both in typical and atypical sites. CT or CBCT guidance, navigation systems and operator experience grant the technical success, which is the most crucial parameter affecting outcome.
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Affiliation(s)
- Francesco Somma
- Radiologia Interventistica, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, Napoli (IT), Naples, Italy
- * E-mail:
| | - Vincenzo Stoia
- Radiologia Interventistica, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, Napoli (IT), Naples, Italy
| | - Roberto D’Angelo
- Radiologia Interventistica, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, Napoli (IT), Naples, Italy
| | - Francesco Fiore
- Radiologia Interventistica, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, Napoli (IT), Naples, Italy
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9
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Furda DD, van Jonbergen JPW, Westerbeek RE. [An adolescent man with pain at night in his lower right leg]. Ned Tijdschr Geneeskd 2020; 164:D5145. [PMID: 33201642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
A 22-year-old man is referred to the orthopaedic surgeon. He has pain, mostly at night, in his proximal right tibia that greatly reduces with NSAIDs. The CT scan shows a focal lucent zone, called a nidus, in the tibia cortex, surrounded by reactive, sclerotic bone. This is typical for an osteoid osteoma, a benign bone tumour.
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Affiliation(s)
- D D Furda
- Deventer Ziekenhuis, afd. Orthopedie,Deventer
- Contact: D. D. Furda
| | | | - R E Westerbeek
- Deventer Ziekenhuis, Centrum voor Radiologie en Nucleaire Geneeskunde,Deventer
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10
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Lam Y. Bone Tumors: Benign Bone Tumors. FP Essent 2020; 493:11-21. [PMID: 32573182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Primary benign bone tumors are uncommon and most often affect children and young adults. They typically are detected incidentally on imaging, though some patients present with pain, swelling, or other symptoms. The four main categories of benign bone tumor are: bone-forming (eg, osteoid osteoma, osteoblastoma, fibrous dysplasia, enostosis), cartilage-forming (eg, osteochondroma, enchondroma), connective tissue, and vascular; the latter two are rare. A fifth category is idiopathic (eg, giant cell tumor, aneurysmal bone cyst, simple bone cyst). Osteochondromas are the most common, accounting for 30% to 35% of benign bone tumors. Giant cell tumors account for 20%, osteoblastomas for 14%, and osteoid osteomas for 12%. All others are less common. Diagnosis mainly is via imaging; biopsy rarely is required. Management varies with tumor type, location, symptoms, and risk of recurrence. Some (eg, enchondroma, osteochondroma, fibrous dysplasia, enostosis) typically are asymptomatic, and generally require no intervention. Others (eg, osteoid osteoma, aneurysmal bone cyst, simple bone cyst) can cause symptoms and require percutaneous ablation or surgery. Still others (eg, giant cell tumor, osteoblastoma) can be aggressive and require surgery and other therapies. Malignant transformation is rare for all benign bone tumors, but patients with these tumors should be monitored with serial imaging.
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Affiliation(s)
- Yee Lam
- UNC Department of Family Medicine, 590 Manning Drive, Chapel Hill, NC 27599
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11
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Tamburrelli FC, Perna A, Meluzio MC, Albisinni U. A thoracic pain of difficult diagnosis. Unusual localization of osteoid osteoma. J BIOL REG HOMEOS AG 2019; 33:141-145. XIX Congresso Nazionale S.I.C.O.O.P. Societa' Italiana Chirurghi Ortopedici Dell'ospedalita' Privata Accreditata. [PMID: 31172731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Osteoid Osteoma (OO) is a benign tumor that can affect any age, but it occurs mostly in adolescents. Only few cases are reported in early infancy but very rare in advanced age. From our series of OO of the spine, we selected a rare case that combines many unusual features that makes diagnosis very difficult. A case of a painful thoracic syndrome in an old female patient due to an OO localized in the inferior edge of the left pedicle of T11 with engagement of the foramen was reported. The age of the patient, the absence of any typical clinical and diagnostic signs, such as nocturnal pain or side effects to NSAIDs administration, are unusual at presentation of OO. She presented instead, a type of pain to the chest that was stabbing, fulminating and radiating. The interest of the case is due to the association of a variety of clinical aspects that stimulate discussion as well as to the role of the modern investigative diagnostic process.
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Affiliation(s)
- F C Tamburrelli
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
- Division of Spinal Surgery, Catholic University of Sacred Heart, Rome, Italy
| | - A Perna
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
- Division of Spinal Surgery, Catholic University of Sacred Heart, Rome, Italy
| | - M C Meluzio
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
- Division of Spinal Surgery, Catholic University of Sacred Heart, Rome, Italy
| | - U Albisinni
- Diagnostic and Interventional Radiology, The "Rizzoli" Institute, Bologna, Italy
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Czinner M, Kebrle R, Matějovský Z, Němejc M. [Osteoid Osteoma of the Upper Extremity]. Acta Chir Orthop Traumatol Cech 2019; 86:77-82. [PMID: 30843518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
PURPOSE OF THE STUDY Osteoid osteoma (OO) of the upper extremity is a rare pathology representing a major diagnostic challenge. The patients are often times incorrectly treated due to a misdiagnosis and therefore the final management of symptoms is delayed by several months. During this time the pain, which is the main symptom, increases. The surgical treatment is a fast and efficient solution. This paper aims to highlight the specificity of the OO of the upper extremity, evaluate our study group, the time to diagnosis and the benefits of individual imaging techniques. MATERIAL AND METHODS In the period 2007-2017, a total of 8 patients with a histologically verified OO of the upper extremity were consulted and treated at the authors departments. The group of patients was retrospectively evaluated based on the medical reports, surgical protocols, imaging examinations, histology results of preoperative samples and a postoperative questionnaire. Pain was assessed on the Visual Analogue Scale (VAS) preoperatively, at 2 weeks, 2 months and at one year postoperatively and in January 2018. The mean follow-up period was 48 months (range 16-78). The presence of swelling, synovitis and a limited range of motion were clinically assessed. The removed tissue was tested in an accredited biopsy laboratory. RESULTS 8 patients with OO of the elbow, wrist and hand were treated in the period 2007-2017. In 5 cases the OO was located in the wrist (scaphoid, 2x trapezoid, hamate and capitate) and in 2 cases in finger phalanges (middle and distal phalanx). The mean age of the patients was 24.5 years (median 21.5, range 18-42). The male to female ratio was 7:1. The mean interval between the onset of symptoms and the final diagnosis was 16.25 months (median 15.5, range 12-25). The CT examination proved to be the most beneficial imaging techniques. A plain radiograph led to a diagnosis in 1 case only. The preoperative mean pain VAS value 9.25 dropped to VAS 1 at two weeks after the surgery. No recurrence was reported. DISCUSSION The main challenge in treating the OO of the upper extremity is the diagnosis. Despite of the availability of advanced imaging techniques, the interval from the onset of symptoms to correct diagnosis did not change over the past decades. As to the treatment, despite the development of new procedures the method of choice continues to be the surgical excochleation. CONCLUSIONS Osteoid osteoma of the upper extremity is a rare pathology which shall be considered in case of an increasing pain, especially in young men. A plain radiograph of the anatomically complex terrain of the hand and wrist is mostly not useful in diagnosis, whereas the CT examination can visualise even a small size nidus. The surgical excochleation results in pain relief and early functional recovery with swelling disappearance. To diagnose the OO is not difficult provided we take it into consideration. Key words:osteoid osteoma, upper extremity, hand, wrist, diagnosis.
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Affiliation(s)
- M Czinner
- Oddělení ortopedie, Traumatologicko-ortopedické centrum, Krajská nemocnice Liberec
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13
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Abstract
Bone-forming tumors are defined by neoplastic cells that differentiate along the lines of osteoblasts that deposit neoplastic bone. The morphology and biological spectrum of bone-forming tumors is broad, and their accurate diagnosis requires the careful correlation of their clinical, morphologic, and radiologic characteristics. Immunohistochemical and molecular analyses have an important role in select instances. At present, the identification of neoplastic bone largely depends on histologic analysis, which can be subjective. The major types of osteosarcoma are defined according to their morphology, origin within or on the surface of the bone, and their histologic grade.
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Affiliation(s)
- Yaxia Zhang
- Department of Pathology, Lerner College of Medicine, Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, 9500 Euclid Avenue L25, Cleveland, OH 44195, USA
| | - Andrew E Rosenberg
- Department of Pathology, Miller School of Medicine, University of Miami, 1400 Northwest 12th Avenue, Miami, FL 33136, USA.
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Chojecki Ł, Płomiński J, Pepłoński A. Unusual Location of Osteoid Osteoma in the Acromion. Ortop Traumatol Rehabil 2017; 19:67-73. [PMID: 28436372 DOI: 10.5604/15093492.1235279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
We present the clinical case of a 14-year-old female patient complaining of omalgia. A focus of osteoid osteoma located in the acromion was diagnosed. The lesion was removed using the arthroscopic technique, and the symptoms subsided completely. We also present a review of published papers regarding unusual locations of osteoid osteoma.
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Affiliation(s)
- Łukasz Chojecki
- Department of Orthopaedics, Military Institute of Medicine, Warsaw, Poland
| | - Janusz Płomiński
- Department of Orthopaedics, Military Institute of Medicine, Warsaw, Poland
| | - Artur Pepłoński
- Department of Orthopaedics, Military Institute of Medicine, Warsaw, Poland
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15
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Abstract
RATIONALE Lumbar osteoid osteoma has a low incidence, which could easily lead to scoliosis. PATIENT CONCERNS Scoliosis secondary to lumbar osteoid osteoma could be easily misdiagnosed when patients do not complain of obvious symptoms. DIAGNOSES We reported a case of a 9-year-old boy with back deformity that was firstly diagnosed with scoliosis at the local hospital. After prescribed with orthosis, the patient experienced aggravating pain that could not be relieved with painkillers. After he admitted to our hospital for further medical advice, he was prescribed to complete radiological examinations. Considering his radiological examination results and his medical history, correct diagnosis of lumbar osteoid osteoma was made. INTERVENTIONS Surgical intervention of posterior lesion resection was conducted after diagnosis. Intra-operative frozen pathology indicated features of osteoid osteoma. As the lesion involved inferior articular process of L5, which could cause lumbar instability after lesion resection, internal fixation was conducted at L4-S1 segment, and posterolateral bone fusion was also conducted at L5-S1 segment. OUTCOMES Three months after operation, the patient showed marked improvement of scoliosis deformity and great relief of lumbar pain. LESSONS SUBSECTIONS Although spine osteoid osteoma is clinically rare, it shall not be overlooked when young patients present with scoliosis first. Radiological results including computed tomography and magnetic resonance imaging shall be taken carefully as reference when making diagnosis. Surgical intervention of lesion resection could well improve scoliosis and relieve lumbar pain.
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16
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Wakrim S, Siwane A, Traore O, Lezar S, Essodegui F. [Osteoid osteoma: about a case]. Pan Afr Med J 2016; 24:132. [PMID: 27642470 PMCID: PMC5012815 DOI: 10.11604/pamj.2016.24.132.9703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 05/23/2016] [Indexed: 11/24/2022] Open
Abstract
Osteoid osteoma is a benign primary bone tumor. This tumor is relatively frequent, accounting for 12% of all benign bone tumors and about 2-3% of all bone tumors. We report a new case of osteoid osteoma confirmed histologically. A 30-year old patient was referred for evaluation of chronic ankle pain. Front and lateral radiographs of the ankle showed a heterogeneous lesion located in the neck of the talus without soft tissue abnormalities. The CT scan of the ankle showed a nodular, hypodense lesion located in the neck of the talus with a limited osteosclerotic reaction.
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Affiliation(s)
- Soukaina Wakrim
- Service de Radiologie Central, CHU Ibn Rochd, Casablanca, Maroc
| | | | - Ousmane Traore
- Service de Radiologie Central, CHU Ibn Rochd, Casablanca, Maroc
| | - Samira Lezar
- Service de Radiologie Central, CHU Ibn Rochd, Casablanca, Maroc
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Jordan RW, Koç T, Chapman AWP, Taylor HP. Osteoid osteoma of the foot and ankle--A systematic review. Foot Ankle Surg 2015; 21:228-34. [PMID: 26564722 DOI: 10.1016/j.fas.2015.04.005] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Revised: 01/19/2015] [Accepted: 04/19/2015] [Indexed: 02/04/2023]
Abstract
BACKGROUND Osteoid osteomas are responsible for 10% of benign bone tumours. Treatment typically involves surgical excision or radio frequency ablation. The aim of this systematic review is to evaluate reported cases of foot and ankle osteoid osteomas. METHODS We conducted a systematic review of the literature using the online databases Medline and EMBASE. We included studies reporting osteoid osteoma diagnosed either radiologically or histologically. RESULTS 94 studies were included reporting 223 cases; 70.5% were male, mean age was 23 years, 69% reported night pain and 72% responded to NSAIDs. The commonest affected bone was the talus. CT scan was the most useful radiological investigation and MRI missed the diagnosis in 34% of cases. The majority of patients underwent surgical excision but an increasing trend of ablation therapy was demonstrated. CONCLUSIONS A high index of suspicion based on salient history and appropriate imaging are essential for timely identification and treatment.
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Affiliation(s)
| | - Togay Koç
- Southampton General Hospital, United Kingdom
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18
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Ouakrim R, Ouchrif Y, El Ouakili I, Kharmaz M, Elamrani MO, Elouadghiri M, Mahfoud M, Elbardouni A, Lahlou A, Berrada MS. [Elbow pain in a young athlete revealing osteoid osteoma of the coronoid process: report of a case]. Pan Afr Med J 2015; 22:45. [PMID: 26664546 PMCID: PMC4662519 DOI: 10.11604/pamj.2015.22.45.7161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Accepted: 09/12/2015] [Indexed: 11/23/2022] Open
Abstract
L'ostéome ostéoïde de l'apophyse coronoïde est exceptionnel, pose des problèmes diagnostiques et thérapeutiques. La douleur représente le maître symptôme. La perte d'extension complète est classique, cependant celle de la pronation et supination est très rare. Le scanner constitue l'examen radiologique de référence à condition de réaliser des coupes fines. La résection monobloc à foyer ouvert constitue le traitement de référence. Les traitements percutanés sont aussi efficaces mais au coude la proximité des éléments vasculo-nerveux et du cartilage articulaire rendent leurs indications plus limitées.
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Affiliation(s)
- Redouane Ouakrim
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
| | - Younes Ouchrif
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
| | - Issam El Ouakili
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
| | - Mohammed Kharmaz
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
| | - Moulay Omar Elamrani
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
| | - Mohammed Elouadghiri
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
| | - Mustapha Mahfoud
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
| | - Ahmed Elbardouni
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
| | - Abdou Lahlou
- Service de Chirurgie Orthopédique et Traumatologique, CHU de Rabat, Rabat, Maroc
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19
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Banga K, Racano A, Ayeni OR, Deheshi B. Atypical hip pain: coexistence of femoroacetabular impingement (FAI) and osteoid osteoma. Knee Surg Sports Traumatol Arthrosc 2015; 23:1571-1574. [PMID: 24748285 DOI: 10.1007/s00167-014-2985-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Accepted: 04/01/2014] [Indexed: 10/25/2022]
Abstract
The objective of this article was to emphasize the importance of including less common causes of hip pain in a differential diagnosis, particularly when clinical and radiographic variables are atypical. This article presents the case of a 52-year-old patient with a history of progressive hip pain resulting from the coexistence of both a femoroacetabular impingement (FAI) and an intraarticular osteoid osteoma. The intraarticular osteoid osteoma was initially overlooked due to its unremarkable features on radiographic and resonance imaging. Consequently, the patient was surgically treated for FAI with only partial relief. An osteolytic nidus characteristic of osteoid osteoma was discovered only 1.5 years following surgery. The patient was subsequently treated for osteoid osteoma with anti-inflammatories, after which his pain began to resolve. The patient was completely pain free after 7 months. Level of evidence V.
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Affiliation(s)
- Kamaljeet Banga
- Division of Orthopedic Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada
| | - Antonella Racano
- Division of Orthopedic Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada
| | - Olufemi R Ayeni
- Division of Orthopedic Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada
| | - Benjamin Deheshi
- Division of Orthopedic Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
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20
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El-Mowafi H, El-Hawary A, Hegazi M. Intra- and periarticular osteoid osteoma: Percutaneous destruction and alcoholisation. Acta Orthop Belg 2015; 81:47-51. [PMID: 26280854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Intra- or periarticular osteoid osteoma (00) is uncommon, and therefore a diagnostic challenge. Symptoms are: chronic synovitis, decreased range of motion, joint effusion, and joint contracture. Radiographically, the classical perifocal sclerotic margin is often absent, which leads to a significant delay in diagnosis. The authors retrospectively studied 50 cases of intra- and peri-articular OO, treated with percutaneous destruction and alcoholisation. The mean follow-up period was 8.7 years (range, 1 to 15 years). The diagnosis was only made after +/-14 months (range, 8 to 18 months), due to atypical symptoms (nightly pain absent in 38%) and uselessness of plain radiographs (in 100%). CT-scan, contrast enhanced MRI and bone scan brought the solution. The technique was successful in 48 out of 50 cases (96%): incomplete excision occurred in 2 patients. The diagnosis of intra- or periarticular OO should be considered in case of unexplained joint pain where conservative treatment is inefficient.
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21
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Rousié M, Sattari A, Schuind F. [Mono-arthritis of the hand: case report of osteoid osteoma]. Rev Med Brux 2015; 36:38-41. [PMID: 25856970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Osteoid osteoma is a rare occurrence at the hand. There is often a long delay before the diagnosis because the clinical signs mimic other frequent affections of the hand. We report the case of a 24-year old female patient suffering from an osteoid osteoma in the first phalanx of a finger. The diagnosis was made four years after the first symptoms. We started by a curettage-biopsy, followed in a second operative step by cauterization and filling up the defect by a bone autograft. Six months after the surgery, the patient was no longer experiencing any symptom. This rare case demonstrates that osteoid osteoma remains a possible diagnosis in chronic pain affecting the hand.
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22
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Sari S, Celikkanat S, Kara K, Akgun V, Karaman B. Osteoid osteoma radiofrequency ablation. JBR-BTR 2014; 97:195. [PMID: 25223141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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23
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An SY, Shin HI, Choi KS, Park JW, Kim YG, Benavides E, Kim JW, An CH. Unusual osteoid osteoma of the mandible: report of case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2014; 116:e134-40. [PMID: 23849381 DOI: 10.1016/j.oooo.2013.04.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2013] [Revised: 04/06/2013] [Accepted: 04/08/2013] [Indexed: 11/20/2022]
Abstract
A 10-year-old boy presented with a swelling on the right side of the jaw. He had undergone excision of the lesion about 10 months ago at a private dental clinic and the swelling began to regrow 4 months after surgery. A panoramic radiograph revealed 4 sclerotic round masses with radiolucent rims surrounded by sclerosis of the right posterior mandible. Computed tomography scan showed 4 round bony masses centered on the buccal cortex and bone marrow space, sclerosis of the adjacent bone and periosteal reaction. He underwent a marginal resection under general anesthesia and the final histopathological report confirmed the diagnosis of osteoid osteoma. Postoperative course was uneventful, and there was no evidence of recurrence at the 5.5-year follow-up. In the review of the literature, 20 osteoid ostemas were found in the jaw and to the best of our knowledge, the present case is the only one showing multifocal nidi.
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Affiliation(s)
- Seo-Young An
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, South Korea
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24
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Gebauer B, Collettini F, Bruger C, Schaser KD, Melcher I, Tunn PU, Streitparth F. Radiofrequency ablation of osteoid osteomas: analgesia and patient satisfaction in long-term follow-up. ROFO-FORTSCHR RONTG 2013; 185:959-966. [PMID: 24490258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
PURPOSE To review the long term clinical outcomes in the treatment of osteoid osteoma (OO) using radiofrequency ablation (RFA). MATERIALS AND METHODS Our retrospective study included 59 patients who were treated in the period from April 2001 to December 2012 due to a symptomatic OO using RFA. Here, the occurrence of complications and postoperative recurrence, as well as postoperative patient satisfaction were examined. Patients satisfaction was assessed by means of a telephone interview with the visual analogue scale (VAS). RESULTS Mean follow-up was 50 months (2 –116 months). The average size of the nidus was 6mm (range 2 – 14 mm). After initial radiofrequency ablation 11.8 % (7/59) of patient showed a recurrence of symptoms. Symptoms could successfully be treated by a second ablation in 5 patients. Assisted success rate was therefore 96.6 % (57/59). The complication rate was 5.1 % (2 major and one minor complication). Furthermore we report a very high patient satisfaction and acceptance of therapy. CONCLUSION RFA is a very successful therapy of symptomatic OOs with a high patient satisfaction. KEY POINTS Osteoid osteomas (OO) are rare benign bone tumors of the childhood and adolescence. Treatment of OOs with minimal-invasive radiofrequency ablation (RFA) shows a high patient satisfaction. RFA is by now the standard therapy of symptomatic OOs.
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MESH Headings
- Adolescent
- Adult
- Anesthesia, General
- Anti-Inflammatory Agents, Non-Steroidal/adverse effects
- Anti-Inflammatory Agents, Non-Steroidal/therapeutic use
- Bone Neoplasms/diagnosis
- Bone Neoplasms/pathology
- Bone Neoplasms/surgery
- Catheter Ablation/methods
- Child
- Child, Preschool
- Female
- Fluoroscopy
- Humans
- Interviews as Topic
- Magnetic Resonance Imaging
- Male
- Middle Aged
- Neoplasm Recurrence, Local/diagnosis
- Neoplasm Recurrence, Local/surgery
- Osteoma, Osteoid/diagnosis
- Osteoma, Osteoid/pathology
- Osteoma, Osteoid/surgery
- Pain Management/methods
- Pain, Postoperative/diagnosis
- Pain, Postoperative/drug therapy
- Patient Satisfaction
- Postoperative Complications/diagnosis
- Postoperative Complications/surgery
- Reoperation
- Retrospective Studies
- Tomography, X-Ray Computed
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25
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Abstract
Osteoid osteomas consist of a nidus with surrounding sclerotic bone. The differential diagnosis covers a wide range of conditions due to the variable presentation of osteoid osteoma. The natural history is for regression to occur within 6 to 15 years with no treatment; however, this can be reduced to 2 to 3 years with the use of aspirin and non-steroidal anti-inflammatory drugs. Computed tomography-guided percutaneous techniques, including trephine excision, cryoablation, radiofrequency ablation, and laser thermocoagulation, are described.
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26
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Janka M, Füssel S, Unterpaintner I, Schuh A. [What ails the young athlete? Osteoid osteoma, lumbar spine]. MMW Fortschr Med 2013; 155:5. [PMID: 23930397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Michael Janka
- Muskuloskelettales Zentrum Klinikum Neumarkt, Akademisches Lehrkrankenhaus der Friedrich- Alexander-Universität Erlangen-Nürnberg
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27
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Mandegaran R, Saha S, Desai A. Chronic lower back pain in a 24 year old man. Osteoid osteoma. BMJ 2013; 346:f2817. [PMID: 23657241 DOI: 10.1136/bmj.f2817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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28
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Lewis VO, Morris CD, Parsons TW. Malignant and benign bone tumors that you are likely to see. Instr Course Lect 2013; 62:535-549. [PMID: 23395056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Although primary malignancies of bone are rare, thousands of benign bone tumors are diagnosed annually. It is important to be able to distinguish benign lesions from malignant lesions and differentiate those lesions that can be watched versus lesions that require further treatment and referral to an orthopaedic oncologist. Learning to distinguish these entities and their appropriate treatment or triage will positively affect the patient and the surgeon's practice.
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Affiliation(s)
- Valerae O Lewis
- Department of Orthopaedic Oncology, MD Anderson Cancer Center, Houston, TX, USA
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29
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Boretz RS, Lonner BS. Atypical presentation of an osteoid osteoma in a child. 2002. Am J Orthop (Belle Mead NJ) 2013; 42:17-19. [PMID: 23431533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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30
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Maurer MH, Gebauer B, Wieners G, De Bucourt M, Renz DM, Hamm B, Streitparth F. Treatment of osteoid osteoma using CT-guided radiofrequency ablation versus MR-guided laser ablation: a cost comparison. Eur J Radiol 2012; 81:e1002-6. [PMID: 22901712 DOI: 10.1016/j.ejrad.2012.07.010] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2012] [Revised: 05/11/2012] [Accepted: 07/09/2012] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To compare the costs of CT-guided radiofrequency ablation (RFA) and MR-guided laser ablation (LA) for minimally invasive percutaneous treatment of osteoid osteoma. MATERIALS AND METHODS Between November 2005 and October 2011, 20 patients (14 males, 6 females, mean age 20.3±9.1 years) underwent CT-guided RFA and 24 patients (18 males, 6 females; mean age, 23.8±13.8 years) MR-guided LA (open 1.0 Tesla, Panorama HFO, Philips, Best, Netherlands) for osteoid osteoma diagnosed on the basis of clinical presentation and imaging findings. Prorated costs of equipment use (purchase, depreciation, and maintenance), staff costs, and expenditure for disposables were identified for CT-guided RFA and MR-guided LA procedures. RESULTS The average total costs per patient were EUR 1762 for CT-guided RFA and EUR 1417 for MR-guided LA. These were (RFA/LA) EUR 92/260 for equipment use, EUR 149/208 for staff, and EUR 870/300 for disposables. CONCLUSION MR-guided LA is less expensive than CT-guided RFA for minimally invasive percutaneous ablation of osteoid osteoma. The higher costs of RFA are primarily due to the higher price of the disposable RFA probes.
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Affiliation(s)
- M H Maurer
- Charité-Universitätsmedizin Berlin, Department of Radiology, Augustenburger Platz 1, 13353 Berlin, Germany.
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31
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Burzynski AO, Valente AL, Damron TA. Orthopaedic case of the month: Recurrent thigh pain in a 44-year-old man. Clin Orthop Relat Res 2012; 470:2339-44. [PMID: 22528389 PMCID: PMC3392397 DOI: 10.1007/s11999-012-2361-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2011] [Accepted: 04/05/2012] [Indexed: 01/31/2023]
Affiliation(s)
- Adam O. Burzynski
- Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, OH USA
| | | | - Timothy A. Damron
- Department of Orthopaedic Surgery, Upstate Medical University, 4400 University Hospital, 750 East Adams Street, Syracuse, NY 13210 USA
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32
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ter Horst SAJ, Vanhoenacker FM, Kroon HM. A challenging cause of mono-arthritis of the ankle. JBR-BTR 2012; 95:113-114. [PMID: 22764678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- S A J ter Horst
- Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
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33
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Lo AB, Chow AHL, Wong WCW, Hui JPK, Yuen MK. Osteoid osteoma of the calcaneum: a small painful lesion causing confusing symptoms. Hong Kong Med J 2012; 18:70-72. [PMID: 22302918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Affiliation(s)
- Archie B Lo
- Department of Radiology, Princess Margaret Hospital, Laichikok, Hong Kong.
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Herget GW, Südkamp NP, Böhm J, Helwig P. Osteoid osteoma of the femoral neck mimicking monarthritis and causing femoroacetabular impingement. Acta Chir Orthop Traumatol Cech 2012; 79:275-278. [PMID: 22840961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Different aetiologies including the femoroacetabular impingement (FAI) may cause a painful hip, especially in young pa - tients. Two general types of femoroacetabular impingement have been described, the pincer- and the cam type impingement. The latter is characterized by a femoral deformity, usually a bump on the head-and-neck junction that impinges on the acetabular rim. The authors describe the case of a 21-year-old male, bodybuilder, suffering from progressive hip pain with impairment of exercise tolerance, gait and other daily activities. Besides limitation of hip internal rotation physical examination was normal. He had a transitory response to non-steroid anti-inflammatory drugs. Initially performed MRI of the pelvis shows predominant inflammation of the hip joint. In external performed arthroscopy the biopsies of the capsule demonstrated chronic synovitis. In the follow up hip pain remains, however, diagnosis was still unclear. Re-evaluation of the formerly performed and a follow up MRI, and of an additional CT, the findings were compatible with an osteoid osteoma in the femoral cervico-cephalic transition causing itself a cam impingement and monarthritis. The adopted therapeutic strategy consisted on arthroscopic excision of the nidus and trimming of the femoral neck, with clinical recovery after surgical intervention.
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Affiliation(s)
- G W Herget
- Department of Orthopaedics and Traumatology and Tumorcenter Ludwig Heilmeyer - Comprehensive Cancer Center Freiburg, University Medical Center, Freiburg i. Br., Germany
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Abstract
Osteomas are benign, slow-growing osteogenic tumours rarely occurring in the craniofacial bones. Osteomas are characterised by the proliferation of compact and/or cancellous bone. It can be of a central, peripheral, or extra skeletal type. The peripheral type arises from the periosteum and is rarely seen in the mandible. The lingual surface and lower border of the body are the most common locations of these lesions. They are usually asymptomatic and can be discovered in routine clinical and radiographic examination. In this paper, the authors present a large solitary peripheral osteoma located in the inferior surface of the left angle of mandible and causing facial deformity in a 14-year-old boy. Radiographic examination by diagnostic radiographs revealed mixed appearance (radiopaque- radiolucent), well-circumscribed, pedunculated mass approximately 3.5 cm in size. The osteoma was removed surgically, and no recurrence has been observed.
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Affiliation(s)
- Satish Karandikar
- Oral and Maxillofacial Surgery Department, People’s College of Dental Sciences and Research Centre, Bhopal, Madhyapradesh, India
| | - Gagan Thakur
- Oral and Maxillofacial Surgery Department, People’s College of Dental Sciences and Research Centre, Bhopal, Madhyapradesh, India
| | - Manisha Tijare
- Oral Pathology Department, People’s College of Dental Sciences and Research Centre, Bhopal, Madhyapradesh, India
| | - Shreenivas K
- Oral Pathology Department, People’s College of Dental Sciences and Research Centre, Bhopal, Madhyapradesh, India
| | - Kavita Agrawal
- Oral Medicine Department, People’s College of Dental Sciences and Research Centre, Bhopal, Madhyapradesh, India
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36
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Le Goff C, Guillemot E, Gunepin FX. [Osteoid osteoma]. Rev Prat 2011; 61:1358. [PMID: 22288344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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37
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Ma K, Zhao HT, Niu XH, Zhang Q. Osteoid osteoma of the patella: report of two cases. Chin Med J (Engl) 2011; 124:4096-4098. [PMID: 22340349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
Osteoid osteoma is very rarely located in the patella, and can represent a significant diagnostic challenge, resulting in a delay of treatment. Patients with osteoid osteoma of the patella often present with knee pain that is also a typical symptom of trauma or of other diseases such as arthritis, which are much more common than osteoid osteoma. We present two young male patients diagnosed with osteoid osteoma of the patella. Each of these patients had a history of intense knee pain; however, accurate diagnosis of osteoid osteoma in the patella had been delayed for more than one year. Computed tomography (CT) scans or magnetic resonance imaging (MRI) showed a circumscribed lesion of the patella in both patients, whereas X-ray examination (posteroanterior projection) was not able to detect the tumor. Different surgical procedures were performed in these patients for resection of the tumors, and the pathology findings confirmed the diagnosis of osteoid osteoma. Both patients recovered completely from surgery.
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Affiliation(s)
- Ke Ma
- Department of Orthopedic Oncology, Beijing Jishuitan Hospital, Beijing 100035, China
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38
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Arora J, McLauchlan J, Munro N. RECURRENT OSTEOID OSTEOMA OF THE LUNATE: A CASE REPORT AND REVIEW OF THE LITERATURE. ACTA ACUST UNITED AC 2011; 8:239-42. [PMID: 15002104 DOI: 10.1142/s0218810403001704] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2003] [Accepted: 08/19/2003] [Indexed: 11/18/2022]
Abstract
Osteoid osteoma is a benign tumour of bone that rarely localises in the carpal bones. Its treatment by curettage and bone grafting is considered to be curative and its recurrence is thought to be rare. We report a case of an osteoid osteoma of the lunate, which recurred seven years after the initial operation. Recurrent osteoid osteoma of the lunate bone has not been reported in the literature. We present this case report for its atypical presentation and diagnostic difficulty and also to alert the readers of the possibility of an osteoid osteoma as a cause of the chronic unexplained wrist pain in young adults.
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Affiliation(s)
- J Arora
- Woodend Hospital, Grampian University Hospital NHS Trust, Aberdeen, Scotland, UK.
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39
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Amanatullah DF, Mallon ZO, Mak WH, Borys D, Tamurian RM. Pelvic osteoid osteoma in a skeletally mature female. Am J Orthop (Belle Mead NJ) 2011; 40:476-478. [PMID: 22022677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Osteoid osteoma is the most common bone-producing tumor that typically presents with "throbbing night pain" and that improves dramatically with use of low-dose salicylates. Few cases of pelvic osteoid osteoma have been reported, and most have involved patients younger than age 30. Surgical excision classically has been the treatment of choice, but, recently, less invasive modalities, including radiofrequency ablation, have begun to supplant surgical management of osteoid osteoma, resulting in a decrease in the need for definitive surgical diagnosis and treatment. We present a rare case of osteoid osteoma in the pelvis of a woman older than age 30.
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Affiliation(s)
- Derek F Amanatullah
- Department of Orthopaedic Surgery, University of California at Davis Medical Center, Sacramento, USA
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Furukawa M, Anazawa U, Horiuchi K, Yabe H, Morioka H, Mukai M, Toyoda T, Chiba K, Morii T, Shiraishi T, Toyama Y. Arthroscopic removal of intra-articular osteoid osteoma in the knee: case report and review of the literature. J Orthop Sci 2011; 16:321-5. [PMID: 21431904 DOI: 10.1007/s00776-011-0060-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2009] [Accepted: 06/08/2010] [Indexed: 12/31/2022]
Affiliation(s)
- Mitsuru Furukawa
- Department of Orthopedic Surgery, School of Medicine, Keio University, Tokyo, Japan
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Paganoni S, Higgins LD, Isaac Z. Osteoid osteoma of the spinoglenoid notch mimicking cervical radiculopathy. PM R 2011; 3:280-3. [PMID: 21277281 DOI: 10.1016/j.pmrj.2010.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2010] [Revised: 09/09/2010] [Accepted: 09/17/2010] [Indexed: 11/19/2022]
Affiliation(s)
- Sabrina Paganoni
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA, USA
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42
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Li GX, Guo W, Tang S, Li X, Qi DW. [Diagnosis and treatment of osteoid osteoma]. Zhongguo Gu Shang 2010; 23:629-631. [PMID: 20860146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVE To study the clinical features and surgical treatment of osteoid osteoma and improve the diagnostic therapeutic level. METHODS Clinical data of 35 patients (25 males and 10 females) with osteoid osteoma diagnosed and treated between January 1997 to October 2009 were retrospectively reviewed. The average age was 21 years (ranged, 6 to 49 years). The average interval time between onset of symptoms and diagnosis was 12 months (ranged, 1 to 24 months). The most common sites were the tibia (13 patients) and the femurs (7 patients). The most common presenting complaints for patients with osteoid osteoma was pain which usually responded to NSAIDs and was generally more severe at night. The imaging manifestations revealed a circular or oval nidus. All the patients underwent surgical treatment. The tumors were treated with curettage or excision with autograft or allograft in 19 patients, simple surgical resection in 9 patients, curettage or excision with autograft or allograft and fixation in 7 patients. RESULT The mean follow-up period was 49 months (ranged,2 months to 12 years). The symptom of pain disappeared after operation. There were no evidence of recurrence. Tibial pathological fracture happened in one patient 4 months postoperatively, and the patient got healing after plate-screw internal fixation. One patient with sinus formation 5 years postoperatively got wound healing after sinus resection, intramedullary nail removal and debridement. CONCLUSION According to the typical clinical presentation, radiographic findings, the diagnosis of osteoid osteoma is not difficult. Once the diagnosis is confirmed, the operation should be carried out as early as possible to relieve the symptoms, improve the quality of life and prevent long-term complications.
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Affiliation(s)
- Guang-xue Li
- Musculoskeletal Tumor Center, Peking University of People's Hospital, Beijing 100044, China.
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Abstract
An atypical course of shoulderpain in a young 21 year old patient could be demonstrated. He first felt pain while putting furniture together and months later still felt pain locally in the region of the coracoid. The cause was later identified in CT as being an osteoid osteoma, a benign bone tumour with high vascularity in the core (nidus) and a surrounding region of sclerosis. These tumours usually develop before the age of thirty and the pain responds exquisitely to non-steroidal antirheumatic medication. The tumour was finally removed (CT-guided drilling excision) whereupon the symptoms disappeared.
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Petratos D, Matsinos G, Pergantou H, Anastasopoulos J, Platokouki H. Osteoid osteoma in a child with severe von Willebrand disease. Haemophilia 2009; 16:557-9. [PMID: 19930471 DOI: 10.1111/j.1365-2516.2009.02148.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Andreisek G, Theodoropoulos JS, Mak W, White LM. Musculoskeletal case 45. Can J Surg 2009; 52:E180-E181. [PMID: 19865550 PMCID: PMC2769123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Affiliation(s)
- Gustav Andreisek
- Department of Medical Imaging and the
- Institute of Diagnostic Radiology, University Hospital Zürich, Zürich, Switzerland
| | - John S. Theodoropoulos
- Division of Orthopaedic Surgery, Mount Sinai Hospital and the University Health Network, University of Toronto, Toronto, Ont., and the
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Cakar E, Durmus O, Kiralp MZ, Dincer U. An unusual case of osteoid osteoma misdiagnosed as inflammatory joint disease and complex regional pain syndrome I. Acta Reumatol Port 2009; 34:670-671. [PMID: 20087271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Affiliation(s)
- Engin Cakar
- Gülhane Military Medical Academy, Haydarpasa Training Hospital, Department of Physical Medicine and Rehabilitation, Istanbul, Türkiye.
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47
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Vaz IM, Castro M, Cabete S, Rocha JA, Brito I. [Hip pain in young adults - a case report and review of the literature]. Acta Reumatol Port 2009; 34:656-662. [PMID: 20852579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
A painful hip in a young adult may have its origin in different aetiologies, and both clinical history and physical examination are crucial for diagnostic guidance. The authors describe the case of a 28 year-old male, amateur football player, suffering from insidious progressive left cruralgia, with nocturnal and prolonged high-impact loading activities exacerbation, resulting in significant impairment of exercise tolerance, gait and other daily activities. He had a transitory response to non-steroid anti-inflammatory drugs. Besides slight limitation of hip internal rotation and an antalgic gait pattern, physical examination was normal. Laboratory tests and conventional X-ray of the left hip were normal. CT and MRI depicted findings compatible with an osteoid osteoma in the femoral cervico-cephalic transition and signs of a potential «cam» type femoro-acetabular impingement. The adopted therapeutic strategy consisted on radiofrequency excision of the nidus of osteoid, with complete clinical recovery after 6 months.
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Affiliation(s)
- Inês Machado Vaz
- Interno Formação Específica de Medicina Física e de Reabilitação, Hospital S. João, E.P.E.
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48
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Patrício JP, Oliveira P, Fernandes H, Oliveira A, Faria MT, Pérez MB, Pereira J. [Osteoid osteoma]. ACTA MEDICA PORT 2009; 22:613-616. [PMID: 19944046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2008] [Accepted: 10/28/2008] [Indexed: 05/28/2023]
Abstract
Osteoid osteoma is the third most common benign bone tumor. It usually affects the diaphysis of long bones, especially the femur or the tibia. This paper presents the case of a 22-year-old male patient, with pain in the left knee. The x-ray and ultrasound of the knee were normal. The three phase bone scintigraphy revealed a focal uptake in the mid shaft of the left femur, strongly suggestive of osteoid osteoma. This case shows the significant role of bone scintigraphy in the diagnosis of an osteoma osteoid with atipical presentation.
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Le Goudevèze S, Marchaland JP, Boddaert G, Versier G. Osteoid osteoma distal to a hip arthroplasty. Orthop Traumatol Surg Res 2009; 95:388-91. [PMID: 19628443 DOI: 10.1016/j.otsr.2009.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2008] [Revised: 03/07/2009] [Accepted: 03/31/2009] [Indexed: 02/02/2023]
Abstract
The authors report a case of osteoid osteoma distal to a hip prosthesis in a 56-year-old patient. This rare association was difficult to diagnose; at first, the pain seemed to be of mechanical origin, suggesting a delayed painful reaction to the prosthesis. The results of bone scan as well as the CT scan ones helped orient the diagnosis. Excision biopsy, using bone trephining, completed by an iliac bone auto-graft resulted in a cure with no residual instability of the prosthesis above the tumor. Bone scan with radio-isotopes to localize the lesion was particularly helpful in this instance to secure the final diagnosis.
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Affiliation(s)
- S Le Goudevèze
- Orthopaedic and Traumatology Department, Inter-Armies Begin Hospital, 69, avenue de Paris, 94163 Saint-Mandé cedex, France. sebastien
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Breindl G. [Nocturnal pain in the hands]. MMW Fortschr Med 2009; 151:53-55. [PMID: 19722465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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