Arthroscopic excision of intra-articular sub-periosteal osteoid osteoma of elbow: a case report

Goyal, Tarun; Pandita, Naveen; Paul, Souvik

doi:10.1051/sicotj/2018021

Cited by 8 publications

(12 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…OO is a benign lesion comprising 10–12% of bone tumors [ 5 ] with a male predominance mostly in their second and third decade [ 3 , 6 ]. The more common diaphyseal tumors present with classical night pain relieved by salicylate/NSAIDs and characteristic X-ray finding of a radiolucent nidus with typical surrounding profound sclerosis [ 7 , 8 ]. High levels of prostaglandin E2 in the nidus have been attributed to the classical night pain which relieves on prostaglandin inhibitors [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical excision gives best results in symptomatic patients, while percutaneous ablation is a safe alternative. On the other hand, intra-articular OO is an uncommon entity and elbow is very rare site of occurrence, wherein olecranon fossa, trochlea or capitulum, proximal radial, proximal ulna, coronoid fossa, and medial epicondyle can all be involved [ 8 ]. In our case, the lesion was found in the proximal ulna breaching the articular cartilage of trochlear notch.…”

Section: Discussionmentioning

confidence: 99%

“…Synovitis is responsible for the effusion that restricts ROM in these cases [ 7 ]. Differential diagnosis includes inflammatory and infectious monoarticular arthritis such as rheumatoid and tubercular arthritis [ 8 ]. X-ray may not show the classical osteoblastic reaction in intra-articular varieties as there is little or no reactive sclerosis [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Differential diagnosis includes inflammatory and infectious monoarticular arthritis such as rheumatoid and tubercular arthritis [ 8 ]. X-ray may not show the classical osteoblastic reaction in intra-articular varieties as there is little or no reactive sclerosis [ 8 ]. Moreover, the nidus can show varying degree of maturity and sclerosis causing diagnostic dilemma in most cases [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

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

Sridharan

Rajagopalan

et al. 2021

JOCR

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

Sridharan

Rajagopalan

et al. 2021

JOCR

View full text Add to dashboard Cite

show abstract

“…The advantage of arthroscopy is reduced postoperative pain related to minimal incisions, fewer wound problems, wider intraoperative vision, a less invasive surgery, and earlier return to full activity levels [13]. To the best of our knowledge, 19 cases in 1 case series and 8 case reports describe arthroscopic resection for OO in the elbow [8,[19][20][21][22][23][24][25][26]. Six patients with OO in the olecranon fossa are among these cases.…”

mentioning

confidence: 99%

Arthroscopic Excision for Intra-Articular Osteoid Osteoma of the Olecranon Fossa: A Case Report and Literature Review

Yano¹,

Kaneshiro²,

Sakanaka³

2020

Case Reports in Orthopedics

View full text Add to dashboard Cite

Intra-articular osteoid osteoma (OO) of the elbow is rare. We report a 26-year-old man who presented with pain, swelling, and limited elbow range of motion. Plain computed tomography (CT) showed a radiolucent round lesion at the distal humerus and reactive bone in the olecranon fossa. Conservative treatment with salicylate failed under the suspicion of OO. During elbow arthroscopy, a red solitary lesion was noted after resection of the white reactive bone in the olecranon fossa and was excised en bloc using a bony chisel. Histological examination showed OO. The patient’s symptoms resolved the day after surgery. The patient remained asymptomatic 2 years postoperatively. This case report shows the successful clinical results of an arthroscopic procedure for intra-articular OO based on two primary goals: precise location of the lesion indicated by reactive bone on preoperative CT and histological verification using bony chisel.

show abstract

Arthroscopic management of intra- and juxta-articular osteoid osteoma of the upper extremity: a systematic review of the literature

Marwan

Abduljabbar

et al. 2020

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Arthroscopic excision of intra-articular sub-periosteal osteoid osteoma of elbow: a case report

Cited by 8 publications

References 20 publications

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

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

Arthroscopic Excision for Intra-Articular Osteoid Osteoma of the Olecranon Fossa: A Case Report and Literature Review

Arthroscopic management of intra- and juxta-articular osteoid osteoma of the upper extremity: a systematic review of the literature

Contact Info

Product

Resources

About