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Malavolta EA, Assunção JH, Rebolledo DCS, Gracitelli MEC, Correia LFM, Ferreira Neto AA, de Camargo OP. Osteoid osteoma of the glenoid: Arthroscopic treatment. Orthop Traumatol Surg Res 2015; 101:977-80. [PMID: 26545941 DOI: 10.1016/j.otsr.2015.08.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Revised: 08/10/2015] [Accepted: 08/28/2015] [Indexed: 02/02/2023]
Abstract
Osteoid osteoma is a benign tumor that is rarely found in the scapula. We report a clinical case involving a 36-year-old female patient who suffered from progressive pain in her right shoulder for 1 year. This patient was initially diagnosed with impingement syndrome and was treated unsuccessfully with medication and physical therapy for approximately 2 months. Based on imaging exams, a juxta-articular osteoid osteoma of the glenoid was identified. The patient underwent a shoulder arthroscopy that included tumor removal and treatment of the resulting chondral lesion. At 6-, 12- and 36-month assessments, the patient was asymptomatic, with a normal range of motion and experienced a pain intensity corresponding to 0 points on the Visual Analog Scale (VAS) and 35 points on the University of California, Los Angeles (UCLA) Scale. A postoperative MRI indicated the absence of any residual tumor tissue or inflammatory signs. We believe that the approach described in this paper allows juxta-articular osteoid osteomas to be accessed in a minimally invasive manner and permits not only adequate resection but also the treatment of chondral lesions that could remain after tumor resection.
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Affiliation(s)
- E A Malavolta
- Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil
| | - J H Assunção
- Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil.
| | - D C S Rebolledo
- Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil
| | - M E C Gracitelli
- Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil
| | - L F M Correia
- Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil
| | - A A Ferreira Neto
- Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil
| | - O P de Camargo
- Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil
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