A Misguiding Osteoid Osteoma in the Bicipital Tuberosity of the Radius

Δίτσιος, Κωνσταντίνος; Papadakis, N.; Theodoroudis, Ioannis; Kostretzis, Lazaros; Konstantinou, Panagiotis; Pinto, Iosafat; Christodoulou, Anastasios

doi:10.1155/2016/6428137

Cited by 3 publications

(9 citation statements)

References 11 publications

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“…O steoid osteoma is a painful bone tumor, and has been infrequently described at various locations within the elbow joint. [1][2][3][4] The lesion is usually associated with disabling pain and occasionally may result in progressive stiffness of the elbow. 5 Radiofrequency ablation is usually the treatment of choice; however, arthroscopic excision has been described as an alternate management option and can be combined with arthroscopic elbow adhesiolysis for restoration of motion.…”

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confidence: 99%

Arthroscopic Excision of Osteoid Osteoma of the Elbow

Bhatia

2017

Arthroscopy Techniques

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Osteoid osteoma has been reported infrequently around the elbow joint, and is usually treated with radiofrequency ablation or open excision. Elbow arthroscopy is useful for excision of accessible lesions, and the accompanying elbow stiffness can be treated concurrently. This report describes an arthroscopic excision of an osteoid osteoma located in the juxta-articular distal humeral bone. An initial adhesiolysis and capsulectomy is performed to gain access to the region above the capitellar articular margin. A 70° arthroscope is necessary to visualize this region via the anteromedial portal. An accessory lateral portal is used to detach the capsule from the distal humerus; the scar tissue overlying the lesion is debrided and the circumferential lesion is visualized and probed for identification of its extent. A biopsy is performed, and thereafter the lesion is excised piecemeal. The sclerotic margins are curetted, and radiofrequency ablation is performed. The technique is cosmetic and minimally invasive, and can be performed in revision scenarios involving recurrences after open surgery or needle radiofrequency thermal ablation. Early rehabilitation restores range of motion and strength. Technical tips for identification and curettage of the lesion are presented.

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confidence: 99%

Arthroscopic Excision of Osteoid Osteoma of the Elbow

Bhatia

2017

Arthroscopy Techniques

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“…Moreover, the nidus can show varying degree of maturity and sclerosis causing diagnostic dilemma in most cases [ 11 ]. This atypical clinical and imaging finding often results in a delay of around 2 years for a diagnosis to be made [ 3 , 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Herein, we report the first arthroscopic excision of an intra-articular OO involving the trochlear notch of ulna. The diversity in symptoms and absence of the classical salicylate-responsive night pain resulted in a delayed diagnosis in our patient [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Excision of an Intra-articular Osteoid Osteoma in the Trochlear Notch of Ulna – A Case Report

Sridharan

Rajagopalan

et al. 2021

JOCR

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Introduction: Osteoid osteoma (OO) is a benign osteoblastic skeletal lesion commonly affecting the diaphysis of long bones. Intra-articular lesions, which present with atypical symptoms, are uncommon and elbow joint involvement is only rarely reported. Conservative treatment is ineffective and surgical excision or ablation is the therapeutic goal in symptomatic patients. Minimally invasive surgery is gaining popularity as a less morbid alternative in joints as opposed to open surgical excision. Herein, we report the first arthroscopic excision of an intra-articular OO involving the trochlear notch of ulna. Case Report: A 30-year-old man presented with chronic pain and stiffness of his dominant right elbow limiting his routine activities despite treatment with analgesics. Right elbow joint showed features of moderate effusion and X-ray was normal. Computed tomography revealed an OO in the trochlear notch of ulna breaching the cortex. He underwent arthroscopic en bloc excision of the lesion followed by decompression of the surrounding sclerotic bone and radiofrequency ablation of the base. At 6th month follow-up, the patient was asymptomatic with full range of motion at elbow. Conclusion: Periarticular OO is a debilitating illness with atypical clinical and radiological features with no response to medical treatment. Although curative, open surgical excision often adds to the morbidity in the postoperative period. Growing experience in elbow arthroscopy has made minimally invasive surgery a safe low morbid alternative procedure. However, a precise knowledge of the instrumentation and anatomy is essential to avoid incomplete excision and recurrence with arthroscopic approach. Keywords: Osteoid osteoma, elbow, arthroscopy, stiffness, inflammatory arthritis, non-steroidal anti-inflammatory drugs.

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“…Osteoid osteoma is a painful benign osteoblastic tumor that most commonly affects young patients. It mainly involves the diaphysis of lower limb long bones (the femur and the tibia in 70% of cases) [1,2]. Elbow localization is very rare, accounting for about 3% of all osteoid osteoma [1].…”

Section: Introductionmentioning

confidence: 99%

“…It mainly involves the diaphysis of lower limb long bones (the femur and the tibia in 70% of cases) [1,2]. Elbow localization is very rare, accounting for about 3% of all osteoid osteoma [1].…”

Section: Introductionmentioning

confidence: 99%

Monoarthritis of the Elbow Revealing Osteoid Osteoma: A Case Report and Literature Review

et al. 2021

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Osteoid osteoma is a rare benign osteoblastic tumor that mainly occurs in the extra-articular segments of lower limb long bones. The elbow is an exceptional location for osteoid osteoma. The diagnosis is usually delayed since the elbow is a rare site for this tumor and unspecific clinical signs, such monoarthritis, may mimic other more common conditions. We report the case of a 16-year-old girl who presented with chronic monoarthritis of the elbow which was treated falsely as tuberculous arthritis and monoarticular rheumatoid involvement. The laboratory tests were negative. Computed tomography scan and magnetic resonance imaging showed the focal nidus at the coronoid process of the ulna with mild synovitis. The diagnosis of osteoid osteoma was not made until the disease had been progressing for eighteen months and the elbow had already become stiff. Arthroscopic excision of the lesion was performed, and histopathology of the nidus was consistent with osteoid osteoma. Since then, the patient has been pain-free with an improved elbow range of motion.

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A Misguiding Osteoid Osteoma in the Bicipital Tuberosity of the Radius

Cited by 3 publications

References 11 publications

Arthroscopic Excision of Osteoid Osteoma of the Elbow

Arthroscopic Excision of Osteoid Osteoma of the Elbow

Arthroscopic Excision of an Intra-articular Osteoid Osteoma in the Trochlear Notch of Ulna – A Case Report

Monoarthritis of the Elbow Revealing Osteoid Osteoma: A Case Report and Literature Review

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