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Amghar J, Benhammou M, Agoumi O, Daoudi A. [Osteoid osteoma of the upper extremity of the radius: rare localization and literature review (about a case)]. Pan Afr Med J 2022; 41:313. [PMID: 35865843 PMCID: PMC9269035 DOI: 10.11604/pamj.2022.41.313.17878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Accepted: 08/09/2020] [Indexed: 11/16/2022] Open
Abstract
Osteoid osteoma is a benign but painful bone tumor whose treatment is based on complete surgical resection. We here report the case of a young patient with osteoid osteoma of the upper extremity of the radius through a literature review.
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Affiliation(s)
- Jawad Amghar
- Service de Traumatologie Orthopédique A, Centre Hospitalier Universitaire Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohammed I, Oujda, Maroc,Corresponding author: Jawad Amghar, Service de Traumatologie Orthopédique A, Centre Hospitalier Universitaire Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohammed I, Oujda, Maroc.
| | - Mohammed Benhammou
- Service de Traumatologie Orthopédique A, Centre Hospitalier Universitaire Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohammed I, Oujda, Maroc
| | - Omar Agoumi
- Service de Traumatologie Orthopédique A, Centre Hospitalier Universitaire Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohammed I, Oujda, Maroc
| | - Abdelkrim Daoudi
- Service de Traumatologie Orthopédique A, Centre Hospitalier Universitaire Mohammed VI, Faculté de Médecine et de Pharmacie, Université Mohammed I, Oujda, Maroc
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Maselli F, Storari L, Lorusso M, Mourad F, Pennella D, Barbari V, Salomon M, Brindisino F. Osteoid Osteoma in an Adult Wheelchair Basketball Player Mimicking Musculoskeletal Shoulder Pain: Red Flag or a Red Herring? Tomography 2022; 8:389-401. [PMID: 35202197 PMCID: PMC8877604 DOI: 10.3390/tomography8010032] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 01/13/2022] [Accepted: 01/29/2022] [Indexed: 12/01/2022] Open
Abstract
Osteoid osteoma (OO) is a relatively common, benign bone-forming tumour, which mainly occurs on the long tubular bones of the limbs in adolescents. Usually, the OO is classified based on its localisation. Night-time pain is the major symptom of OO, which is commonly relieved using non-steroidal anti-inflammatory drugs, while surgery is required only for those patients with severe pain or in case of failure of previous conservative treatments. Our case report describes a 56-year-old male basketball player who self-referred to our outpatient physical therapy with a shoulder pain complaint. Considering the anamnesis and the physical examination, the physical therapist referred the patient to an orthopaedic surgeon, who suggested a detailed imaging investigation. The peculiarity of this clinical case is the overlapping of two clinical presentations: the symptomatology of the OO and the concurrent mechanical disorder due to a rotator cuff tendinopathy.
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Affiliation(s)
- Filippo Maselli
- Sovrintendenza Sanitaria Regionale Puglia INAIL, 70126 Bari, Italy;
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), Campus of Savona, University of Genova, 17100 Savona, Italy;
| | - Lorenzo Storari
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), Campus of Savona, University of Genova, 17100 Savona, Italy;
- Correspondence:
| | - Mariangela Lorusso
- Department of Clinical Science and Translation Medicine, Faculty of Medicine and Surgery, University of Rome Tor Vergata, 00133 Roma, Italy; (M.L.); (D.P.); (M.S.); (F.B.)
| | - Firas Mourad
- Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, 4671 Differdange, Luxembourg;
- Luxembourg Health & Sport Sciences Research Institute A.s.b.l., 50, Avenue du Parc des Sports, 4671 Differdange, Luxembourg
| | - Denis Pennella
- Department of Clinical Science and Translation Medicine, Faculty of Medicine and Surgery, University of Rome Tor Vergata, 00133 Roma, Italy; (M.L.); (D.P.); (M.S.); (F.B.)
- Department of Medicine and Health Science “Vincenzo Tiberio”, University of Molise C/da Tappino c/o Cardarelli Hospital, 86100 Campobasso, Italy
| | - Valerio Barbari
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), Campus of Savona, University of Genova, 17100 Savona, Italy;
| | - Mattia Salomon
- Department of Clinical Science and Translation Medicine, Faculty of Medicine and Surgery, University of Rome Tor Vergata, 00133 Roma, Italy; (M.L.); (D.P.); (M.S.); (F.B.)
| | - Fabrizio Brindisino
- Department of Clinical Science and Translation Medicine, Faculty of Medicine and Surgery, University of Rome Tor Vergata, 00133 Roma, Italy; (M.L.); (D.P.); (M.S.); (F.B.)
- Department of Medicine and Health Science “Vincenzo Tiberio”, University of Molise C/da Tappino c/o Cardarelli Hospital, 86100 Campobasso, Italy
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Kulkarni SS, Shetty NS, Polnaya AM, Janu A, Kumar S, Puri A, Gulia A, Rangarajan V. CT-guided radiofrequency ablation in osteoid osteoma: Result from a tertiary cancer centre in India. Indian J Radiol Imaging 2021; 27:318-323. [PMID: 29089682 PMCID: PMC5644327 DOI: 10.4103/ijri.ijri_30_17] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIMS The aim of this study is to evaluate the clinical efficacy of computed tomography (CT)-guided radiofrequency (RF) ablation as a minimally invasive therapy for osteoid osteoma. MATERIALS AND METHODS This is a retrospective analysis of prospectively maintained data of 43 symptomatic osteoid osteoma patients who were treated by radiofrequency ablation (RFA). Forty out of 43 patients were naive cases and underwent primary treatment for osteoid osteoma with RFA, whereas 3 patients included in the study underwent RFA for local recurrence after having undergone surgical treatment. Diagnosis was based on clinical and characteristic imaging findings, and biopsy was done for cases with atypical presentation. Pre and post procedure Visual Analog Score (VAS) was documented in all cases. Monopolar RFA system was used in all patients, and the electrode was placed within the lesion nidus under CT guidance coaxially through 11G introducer needle. Ablation was performed at 90° C for 5 min. RESULTS Technical success rate of intranidal placement of electrode was 100%. The primary clinical success in our study was 97.7% (42 of 43), and the secondary clinical success was 100%. Pre and postprocedure VAS score in our study group was 7.8 and 0.4, respectively. Mean follow-up period in our study was 48 months (Range: 4-129 months). One patient had recurrence of pain 4 years after treatment and was treated successfully by a second session. Minor complications were seen in 3 patients with two cases of RF pad burns and one case of skin burn at the treatment site, and these were managed conservatively. No patients developed temporary/permanent neurological deficits, and no procedure-related mortality was seen in our study. CONCLUSION CT-guided percutaneous RFA is a simple, safe, minimally invasive, and highly effective treatment option for osteoid osteoma with good long-term pain control and potentially low disease recurrence.
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Affiliation(s)
- Suyash S Kulkarni
- Interventional Radiology Unit, Department of Radio-Diagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
| | - Nitin S Shetty
- Interventional Radiology Unit, Department of Radio-Diagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
| | - Ashwin M Polnaya
- Interventional Radiology Unit, Department of Radio-Diagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
| | - Amit Janu
- Interventional Radiology Unit, Department of Radio-Diagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
| | - Suresh Kumar
- Interventional Radiology Unit, Department of Radio-Diagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
| | - Ajay Puri
- Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India
| | - Ashish Gulia
- Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India
| | - Venkatesh Rangarajan
- Department of Nuclear Medicine, Tata Memorial Centre, Mumbai, Maharashtra, India
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Wacheul E, Leemrijse T, Galant C, Malghem J, Lecouvet FE. Soft tissue recurrence of an osteoid osteoma: an exceptional observation. Skeletal Radiol 2021; 50:827-833. [PMID: 32964242 DOI: 10.1007/s00256-020-03609-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 09/01/2020] [Accepted: 09/10/2020] [Indexed: 02/02/2023]
Abstract
We report the observation of the soft tissue recurrence of an osteoid osteoma (OO) in a 26-year-old man initially complaining of post-traumatic pain and swelling of the right ankle. A first arthroscopic resection was performed after the misdiagnosis of "bone irregularities" observed on computed tomography (CT) and magnetic resonance imaging (MRI). The diagnosis of OO was made by histological analysis of the resection material. The patient became asymptomatic for 5 years until the symptoms progressively recurred. Follow-up MRI and CT studies demonstrated a nodular bony focus within the periarticular soft tissues of the ankle. The lesion was removed, and histological analysis confirmed the diagnosis of a whole viable OO. This observation likely resulted from the displacement of the initial lesion during the initial arthroscopic procedure. This case report highlights the possibility of recurrence of OO in the soft tissues.
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Affiliation(s)
- Emilie Wacheul
- Department of Pathology, Institut de Recherche Expérimentale et Clinique (IREC), Cliniques Universitaires Saint Luc, Université Catholique de Louvain (UCLouvain), Avenue Hippocrate, 10, 1200, Brussels, Belgium
| | | | - Christine Galant
- Department of Pathology, Institut de Recherche Expérimentale et Clinique (IREC), Cliniques Universitaires Saint Luc, Université Catholique de Louvain (UCLouvain), Avenue Hippocrate, 10, 1200, Brussels, Belgium
| | - Jacques Malghem
- Department of Radiology, Institut de Recherche Expérimentale et Clinique (IREC), Cliniques Universitaires Saint Luc, Université Catholique de Louvain (UCLouvain), 10 Avenue Hippocrate, 10/2942, 1200, Brussels, Belgium
| | - Frédéric E Lecouvet
- Department of Radiology, Institut de Recherche Expérimentale et Clinique (IREC), Cliniques Universitaires Saint Luc, Université Catholique de Louvain (UCLouvain), 10 Avenue Hippocrate, 10/2942, 1200, Brussels, Belgium.
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Abstract
We describe the medical management of an acetabular osteoid osteoma in an 11-year-old girl. There was a 2-year delay until proper diagnosis of the patient's pathology was made. Accurate localization of the nidus in the subchondral bone, involving the cartilage, is difficult on the basis of plain radiographs. All imaging methods, including computed tomography, MRI, and bone scintigraphy, were used to confirm the diagnosis. We proposed medical treatment to avoid possible severe complications from surgical intervention. At the patient's latest follow-up visit, after 2 years of medical treatment with NSAIDs, there is complete healing of the osteoid osteoma and there is no sign of recurrence.
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Leeman JJ, Motamedi D, Wildman-Tobriner B, O'Donnell RJ, Link TM. Intra-articular osteoid osteoma at the femoral trochlea treated with osteochondral autograft transplantation. J Radiol Case Rep 2016; 10:22-29. [PMID: 27761182 DOI: 10.3941/jrcr.v10i6.2817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We present the case of an intra-articular osteoid osteoma at the femoral trochlea. Intra-articular osteoid osteoma can present a diagnostic challenge both clinically and with imaging because it presents differently from the classic cortical osteoid osteoma. Given the lesion's proximity to overlying cartilage, the patient underwent resection of the lesion with osteochondral autograft transplantation at the surgical defect. A comprehensive literature review and discussion of intra-articular osteoma will be provided.
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Affiliation(s)
- Joshua J Leeman
- Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA
| | - Daria Motamedi
- Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA
| | - Ben Wildman-Tobriner
- Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA
| | - Richard J O'Donnell
- Department of Orthopedic Surgery, University of California San Francisco, San Francisco, CA, USA
| | - Thomas M Link
- Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA
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Abdelhafid D, Moncef E, Abdessamad K, Najib A, Hicham Y. [Osteoid osteoma in the lower extremity of the radius: about a case, rare location and review of the literature]. Pan Afr Med J 2016; 24:46. [PMID: 27642387 PMCID: PMC5012803 DOI: 10.11604/pamj.2016.24.46.5974] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Accepted: 06/17/2015] [Indexed: 11/11/2022] Open
Abstract
L'ostéome ostéoïde est une tumeur osseuse bénigne, mais douloureuse et dont le traitement consiste en l'exérèse chirurgicale totale. Nous rapportons, dans ce travail le cas d'une jeune patiente présentant un ostéome ostéoïde de l'extrémité inférieur du radius.
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Affiliation(s)
- Derfoufi Abdelhafid
- Unité de Chirurgie Orthopédique et Traumatologique, Centre Hospitalier Universitaire d'Oujda, Maroc
| | - Erraji Moncef
- Unité de Chirurgie Orthopédique et Traumatologique, Centre Hospitalier Universitaire d'Oujda, Maroc
| | - Kharraji Abdessamad
- Unité de Chirurgie Orthopédique et Traumatologique, Centre Hospitalier Universitaire d'Oujda, Maroc
| | - Abdeljaouad Najib
- Unité de Chirurgie Orthopédique et Traumatologique, Centre Hospitalier Universitaire d'Oujda, Maroc
| | - Yacoubi Hicham
- Unité de Chirurgie Orthopédique et Traumatologique, Centre Hospitalier Universitaire d'Oujda, Maroc
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Radiofrequency thermal ablation of osteoid osteomas of the proximal femur. Usefulness of ultrasound guidance in selected cases. Rev Esp Cir Ortop Traumatol (Engl Ed) 2015. [DOI: 10.1016/j.recote.2015.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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9
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Karabila MA, Madani T, Azouz M, Mhamdi Y, Hmouri I, Kharmaz M, Bardouni A, Lahlou A, Mahfoud M, Berrada MS. [Intra-articular osteoid osteoma of the knee simulating knee arthritis]. Pan Afr Med J 2015; 22:337. [PMID: 26977244 PMCID: PMC4773055 DOI: 10.11604/pamj.2015.22.337.8435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2015] [Accepted: 11/30/2015] [Indexed: 11/11/2022] Open
Abstract
L'ostéome ostéoïde est une tumeur bénigne ostéoblastique relativement rare, constituée d'une petite lésion de tissu charnu et vascularisé, appelé nidus, cernée d'une ostéocondensation réactionnelle. Il représente 2 à 3% de l'ensemble des tumeurs osseuses et 10 à 20% des tumeurs osseuses bénignes et survient généralement entre 10 et 25 ans (extrêmes: 5-53 ans), avec une nette prédominance masculine. La localisation intra-articulaire est rare représentant environ 10 à 13% descas. La clinique et les images radiologiques, souvent atypiques, rendent son diagnostic ardu. Le risque de traitement inadéquat est important. Jusqu’à 40% d'arthroscopies inappropriées ont été rapportés. Le cas rapporté illustre cette situation.
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Affiliation(s)
| | - Tarik Madani
- Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
| | - Mohamed Azouz
- Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
| | - Younes Mhamdi
- Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
| | - Ismail Hmouri
- Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
| | - Mohamed Kharmaz
- Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
| | - Ahmed Bardouni
- Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
| | - Abdou Lahlou
- Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
| | - Mustapha Mahfoud
- Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Rabat, Maroc
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Ramos-Pascua LR, Martínez-Valderrábano V, Santos-Sánchez JA, Tijerín Bueno M, Sánchez-Herráez S. Radiofrequency thermal ablation of osteoid osteomas of the proximal femur. Usefulness of ultrasound guidance in selected cases. Rev Esp Cir Ortop Traumatol (Engl Ed) 2014; 59:326-32. [PMID: 25532908 DOI: 10.1016/j.recot.2014.11.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Revised: 11/09/2014] [Accepted: 11/13/2014] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To review symptoms and imaging findings of proximal femoral osteoid osteomas (OO); to analyse the results of a thermal ablation technique for radiofrequency of the nidus in this location; and to describe usefulness of ultrasound guidance in selected cases. MATERIAL AND METHOD Descriptive and retrospective study consisting of 8 patients with OO in the proximal epiphysis of the femur, which were treated by thermal ablation of the nidus with radiofrequency waves from 1998 to 2004. RESULTS The mean pain period until the performance of the thermal ablation was 11.5 months (range 5-18 months). There were no complications, and all patients stated that the pain was gone by the day following the procedure, with some discomfort during the first week, except for one where it lasted more than one month due to technique difficulties. At present, with a mean follow up of 6 years and 2 months (range 6-190 months), all patients remain asymptomatic and live a rigorous normal life. DISCUSSION Thermal ablation with CT-guided radiofrequency waves is a safe, effective and efficient procedure. CONCLUSION Normal appearance of a proximal femoral OO does not differ significantly from other location osteomas and its diagnosis is easier with previous knowledge. Thermal ablation of the nidus with radiofrequency waves, that may be performed using ultrasound guidance, appears to be the elective treatment of choice due to its efficiency and minimum morbidity.
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Affiliation(s)
- L R Ramos-Pascua
- Servicio de Cirugía Ortopédica y Traumatología, Complejo Asistencial Universitario de León, Gerencia Regional de Salud de Castilla y León (SACYL), León, España.
| | - V Martínez-Valderrábano
- Servicio de Radiología, Complejo Asistencial Universitario de León, Gerencia Regional de Salud de Castilla y León (SACYL), León, España
| | - J A Santos-Sánchez
- Servicio de Radiología, Complejo Asistencial Universitario de Salamanca, Gerencia Regional de Salud de Castilla y León (SACYL), Salamanca, España
| | - M Tijerín Bueno
- Servicio de Radiología, Complejo Asistencial Universitario de León, Gerencia Regional de Salud de Castilla y León (SACYL), León, España
| | - S Sánchez-Herráez
- Servicio de Cirugía Ortopédica y Traumatología, Complejo Asistencial Universitario de León, Gerencia Regional de Salud de Castilla y León (SACYL), León, España
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de Palma L, Candelari R, Antico E, Politano R, Luniew E, Giordanengo M, Di Giansante S, Marinelli M, Paci E. Treatment of osteoid osteoma with CT-guided percutaneous radiofrequency thermoablation. Orthopedics 2013; 36:e581-7. [PMID: 23672909 DOI: 10.3928/01477447-20130426-19] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Osteoid osteoma is a benign bone tumor with a male predominance occurring mainly in children and young adults. The most common symptom is intermittent pain that worsens at night and is at least partially relieved by nonsteroidal anti-inflammatory drugs. The purpose of this study was to assess the long-term effectiveness of computed tomography-guided percutaneous radiofrequency thermoablation in patients with a minimum follow-up of 2 years. Twenty patients with osteoid osteoma (15 men and 5 women) with a mean age of 20.7 years (range, 4-61 years; 12 patients aged 20 years or younger) underwent computed tomography-guided percutaneous radiofrequency thermoablation. Lesion sites were the femur (n=9), tibia (n=7), pelvis (n=1), talus (n=1), cuneiform bone (n=1), and humerus (n=1). Mean follow-up was 44 months (range, 3-106 months). Pain relief was significant in 95% of patients; it disappeared within 24 hours in 14 patients, within 3 days in 4, and within 7 days in 1. The patient with persistent symptoms underwent another percutaneous radiofrequency thermoablation procedure that was successful. The difference between pre- and postoperative pain was significant (P ≤ .01). No recurrences occurred. Computed tomography-guided percutaneous radiofrequency thermoablation is a safe, minimally invasive, and economical procedure with high technical and clinical success rates, and it effectively and durably enhances quality of life.
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Affiliation(s)
- Luigi de Palma
- Clinic Orthopaedic, Marche Polytechnic University, Ancona Hospital, Via Conca 71, 60100 Ancona, Italy.
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Zoboski RJ. Occult osteoid osteoma presenting as shoulder pain: a case report. J Chiropr Med 2013; 11:207-14. [PMID: 23450098 DOI: 10.1016/j.jcm.2012.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2011] [Revised: 05/31/2012] [Accepted: 06/26/2012] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE The purpose of this case study is to describe the clinical course and treatment of a patient with recalcitrant shoulder pain and osteoid osteoma. CLINICAL FEATURES A 28-year-old man had a 2-year history of progressively worsening shoulder and midscapular pain. INTERVENTION AND OUTCOME Before chiropractic consultation, he had been evaluated and treated by his family physician, an orthopedic surgeon, a neurologist, and a pain management specialist. The patient underwent arthroscopy with examination under anesthesia and debridement of a posterior labral tear and cervical spine epidural injections, but neither procedure relieved his symptoms. After seeking chiropractic care, presenting symptoms were reproducible during direct clinical examination; and an initial working diagnosis of secondary right glenohumeral impingement syndrome with coexisting scapulothoracic dyskinesis was made. After 2 weeks of chiropractic rehabilitation, therapy was stopped because of no change in symptoms. The patient was referred for orthopedic consultation. Another series of plain films were ordered, and follow-up magnetic resonance imaging revealed an osseous mass at the medial aspect of the proximal metadiaphyseal region of the right humerus, with a diagnosis of osteoid osteoma. The patient underwent radiofrequency thermoablation of the tumor nidus, which was unsuccessful and resulted in open surgical resection. Resolution of symptoms with minimal pain was reported 3 weeks after the surgery. Four years later, the patient's shoulder remains asymptomatic. CONCLUSION This case demonstrates that osteoid osteoma may present with clinical features that mimic common functional musculoskeletal conditions of the shoulder. Information from the patient history and diagnostic imaging are important for diagnosis and appropriate management.
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Mainzer J, Ganz R, Tibor L, Leunig M. Not All Hip Pain Is Impingement: Femoral Neck Osteoid Osteoma in a Patient with a Coexisting Cam Deformity: A Case Report. JBJS Case Connect 2012; 2:e31. [PMID: 29252529 DOI: 10.2106/jbjs.cc.k.00101] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Jens Mainzer
- Department of Orthopaedic Surgery, Lower Extremities, Schulthess Clinic, Lengghalde 2, CH 8008 Zürich, Switzerland. . .
| | | | - Lisa Tibor
- Department of Orthopaedic Surgery, Lower Extremities, Schulthess Clinic, Lengghalde 2, CH 8008 Zürich, Switzerland. . .
| | - Michael Leunig
- Department of Orthopaedic Surgery, Lower Extremities, Schulthess Clinic, Lengghalde 2, CH 8008 Zürich, Switzerland. . .
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Zoubir E, Frikha F, Trigui M, Bouaziz W, Ayedi L, Aoui M, Gdoura F, Dabbeh C, Bahloul Z, Boudawara T, Ayedi K, Keskes H. [Intra-articular osteoid osteoma of the hip: two cases and review of the literature]. Pan Afr Med J 2011; 8:5. [PMID: 22121414 PMCID: PMC3221407 DOI: 10.4314/pamj.v8i1.71051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2010] [Accepted: 01/30/2011] [Indexed: 11/17/2022] Open
Abstract
Abstract L’ostéome ostéoïde est une tumeur osseuse bénigne qui affecte les adultes jeunes et se localise préférentiellement au niveau des os longs. La localisation intra-articulaire est rare et atteint le plus souvent la hanche. La symptomatologie clinique est alors atypique et peut faire errer le diagnostic constituant un défi diagnostique pour les cliniciens. Nous rapportons deux observations d’ostéome ostéoïde intra-articulaires de la hanche chez deux hommes âgés 24 et 45 ans, révélés par des douleurs de la hanche gauche de type inflammatoire évoluant depuis un an et un an et demi respectivement. Chez les deux patients, le tableau atypique de l’ostéome ostéoïde a été à l’origine d’un retard diagnostic. La tomodensitométrie est dans cette indication l’examen le plus spécifique qui a permis d’évoquer le diagnostic d’ostéome ostéoïde. Une fois le diagnostic est posé, l’exérèse chirurgicale à ciel ouvert a permis la guérison avec disparition totale des douleurs. L’examen histologique a confirmé le diagnostic final d’ostéome ostéoïde intra-articulaire dans les deux cas.
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Affiliation(s)
- Ellouz Zoubir
- Service d'Orthopédie et Traumatologie CHU Habib Bourguiba 3029 Sfax, Tunisia
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