Acetabular osteoid osteoma excision by controlled hip dislocation

Santos, Oscar De Los; Filomeno, Paola; Rey, Rogelio; Cúneo, Alejandro

doi:10.1097/bpb.0b013e32835f57fc

Cited by 11 publications

(4 citation statements)

References 13 publications

(16 reference statements)

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“…7 A case of controlled hip dislocation and use of a gamma probe guide to facilitate excision was recently described, with the patient remaining asymptomatic at long-term follow-up. 11 CT-guided RFA has several distinct advantages over open surgical removal including a shorter length of hospital stay, lower cost, less traumatic access to deep locations around the pelvis and femur, and lower complication rate. 12 Thus, RFA is now considered the standard of care for the treatment of OO.…”

Section: Discussionmentioning

confidence: 99%

Hip Arthroscopy for Removal of an Acetabular Rim–Based Osteoid Osteoma and Concomitant Femoroacetabular Impingement Correction

Denker

Fritts²,

Stone

et al. 2016

Arthroscopy Techniques

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Minimally invasive percutaneous radiofrequency ablation (RFA) techniques are the standard of care for treating simple osteoid osteomas (OOs). Historically, OOs were treated with open en bloc resection or curettage of the nidus. RFA procedures have been linked to soft-tissue complications of varying severity. In addition, RFA may be a poor choice for periarticular OOs because of the potential for procedure-related articular cartilage damage. Hip arthroscopy is a widely accepted approach for the treatment of femoroacetabular impingement. We describe arthroscopic resection of an acetabular rimebased OO as part of a rim resection and labral repair. Early clinical follow-up suggests that arthroscopic resection of an OO in this unusual location is precise and predictable, allows for an additional evaluation of associated symptomatic pathology (i.e., femoroacetabular impingement), and results in prompt symptom resolution.

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Section: Discussionmentioning

confidence: 99%

Hip Arthroscopy for Removal of an Acetabular Rim–Based Osteoid Osteoma and Concomitant Femoroacetabular Impingement Correction

Denker

Fritts²,

Stone

et al. 2016

Arthroscopy Techniques

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show abstract

“…Surgical treatment of femoral neck OOs has included excision with the arthroscopic burr and electrosurgical instruments [ 11 , 19 ], a modified core decompression technique [ 8 ], excisional biopsy or intralesional curettage through an anterior hip approach [ 23 ], with internal fixation or cast immobilization [ 23 ], and a lateral approach and en bloc excision through the greater trochanter [ 24 ]. The standard treatment most often reported for acetabular OOs has been an open surgical procedure to access the cartilage surface [ 25 , 26 ]. RFA is also commonly used to treat OOs in all locations, and has a reported overall success rate of up to 90% in permanently treating OOs [ 10 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical presentation of intra-articular osteoid osteoma of the hip and preliminary outcomes after arthroscopic resection: a case series

Spiker

Rotter

Chang

et al. 2017

Journal of Hip Preservation Surgery

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Intra-articular osteoid osteoma (IAOO) of the hip is a relatively rare diagnosis, but one that can closely mimic symptomatic presentation of femoroacetabular impingement (FAI). Although there are multiple case reports of osteoid osteoma (OO) in the hip, we present the largest case series of hip IAOO treated with hip arthroscopy and discuss limited patient-reported outcomes after treatment with hip arthroscopy. We retrospectively identified patients diagnosed with IAOO of the hip with confirmatory computed tomography, magnetic resonance imaging or biopsy diagnoses of OO. We analyzed lesion location, main presenting symptoms, symptom duration and treatment undertaken. For the patients who underwent hip arthroscopy for treatment of their IAOO, we reviewed patient-reported outcome scores when available.Forty patients with confirmed IAOO were identified. Thirteen underwent excision with hip arthroscopy. The most common presenting symptom was groin pain. In limited patients who had pre- and post-operative outcome scores, we found significant improvements in modified Harris Hip Score (mHHS), Hip Outcome Score-Activity of Daily Living (HOS-ADL) and international Hip Outcomes Tool (iHot33) scores. Compared with patients undergoing hip arthroscopy for FAI alone, baseline mHHS, HOS-ADL, Hip Outcome Score–Sport-Specific Subscale and iHot33 scores were almost identical. We found that the presenting symptoms of hip IAOO closely mimic symptomatic FAI, including groin pain and anterior hip pain, so it is important to keep IAOO of the hip in the differential diagnosis of hip pain. Based on our experience, arthroscopy can be an effective treatment option for excision of intra-articular OO and is especially effective in patients with concomitant FAI in treating both pathologies.

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“…Open surgical excision is the most often-suggested treatment method, and it has high success rates (88-100 %). The hip must be safely dislocated for open surgical treatment of intra-articular acetabular osteoid osteoma [6]. Safe dislocation of the hip is a demanding procedure with a risk of avascular necrosis [14].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic excision of acetabular osteoid osteoma in a 7-year-old patient

Aşık

Erşen

Polat

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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The purpose of this study was to present the case report of a 7-year-old patient who was treated with hip arthroscopy for an acetabular osteoid osteoma. A 7-year-old patient was referred to our clinic with hip pain. In the assessment of the patient, an acetabular osteoid osteoma was detected in his right hip; it was adjacent to his triradiate cartilage. An arthroscopic surgery was planned as an alternative to open safe hip dislocation. The osteoid osteoma was completely removed with hip arthroscopy. Postoperative CT scanning and histopathological analysis confirmed the diagnosis. Exposure of the acetabulum can be problematic in paediatric patients due to the potential risks of open safe dislocation. Hip arthroscopy can safely be used for benign hip lesions in paediatric patients. Level of evidence Case report, Level V.

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Acetabular osteoid osteoma excision by controlled hip dislocation

Cited by 11 publications

References 13 publications

Hip Arthroscopy for Removal of an Acetabular Rim–Based Osteoid Osteoma and Concomitant Femoroacetabular Impingement Correction

Hip Arthroscopy for Removal of an Acetabular Rim–Based Osteoid Osteoma and Concomitant Femoroacetabular Impingement Correction

Clinical presentation of intra-articular osteoid osteoma of the hip and preliminary outcomes after arthroscopic resection: a case series

Arthroscopic excision of acetabular osteoid osteoma in a 7-year-old patient

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