Arthroscopic Management of Osteoid Osteoma of the Ankle Joint: A Systematic Review of the Literature

Ge, Susan; Marwan, Yousef; Addar, Abdullah; Algarni, Nizar; Chaytor, Ruth; Turcotte, Robert

doi:10.1053/j.jfas.2018.10.001

Cited by 8 publications

(6 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Generally accepted advantages of an arthroscopic procedure in conjuncture with a clear tumour visualisation and sample gathering, as well as, an opportunity to deal with an elbow contracture, it makes this technique a useful option for treatment of intra- and juxta-articular elbow OOs [ 20 , 21 , 52 , 53 ]. Cases involving arthroscopic treatment of intra- and juxta-articular elbow OO are scarce.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Marwan et al [ 53 ] in a 2015 systematic review involving 10 cases with intra-articular hip OO, showed a 100% success rate, no recurrences and one minor complication following arthroscopic ablation. Ge et al [ 21 ] in 2018, firstly reviewed arthroscopic management of the 27 intra-articular ankle OOs and reported a success rate of 96% without complications and with one recurrence, one year after the procedure. Moreover, in 2020 Ge et al [ 20 ] in another systematic review, examined arthroscopic management of intra‐ and juxta‐articular osteoid osteoma of the upper extremities and concluded that arthroscopic ablation of the shoulder and wrist OOs was successful in 100% of cases with no complications or recurrences.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of arthroscopy versus percutaneous radiofrequency thermal ablation for the management of intra- and juxta-articular elbow osteoid osteoma: case series and a literature review

Knežević

Bojanić

2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Today, intra-articular and juxta-articular osteoid osteomas are treated with arthroscopy and radiofrequency thermal ablation. However, for the case of an elbow joint, arguments are made for the use of a minimally invasive technique to be the optimal choice. This study aims to analyse our experiences of arthroscopically treated elbow osteoid osteomas and to compare it with the published results of both techniques. Methods The retrospective study analyses the patients who underwent elbow arthroscopy ablation of an elbow osteoid osteoma at a single institution from January 2014 until March 2020. Clinical and diagnostic features, success and treatment failure rates, complications and tumour recurrence rates were all compared to 13 studies of intra-articular elbow osteoid osteoma arthroscopic ablation and 15 studies involving radiofrequency thermal ablation of intra-articular osteoid osteoma within different joints. Results Four males and two females, with a mean age of 19.3 years, were encompassed. All the patients had immediate postoperative pain relief and improved range of motion. No tumour recurrences were observed during a median of 21.7 months. The literature review yielded 86.4% success rate, 68.2% successful biopsies, one minor complication and no recurrences following the arthroscopic ablation of an elbow osteoid osteoma; while radiofrequency thermal ablation of an intra-articular elbow osteoid osteoma yielded 96.3% success rate, 33.3% successful biopsies, no complications and 3.7% recurrence rate. Conclusions Our results are consistent with the published literature proving that arthroscopic ablation is an efficient method with low treatment failure rates and no recurrences in treating intra- and juxta-articular elbow osteoid osteomas. Advantages of arthroscopic ablation stem from the ability to visualise and safely deal with the lesion and the joint’s reactive changes resulting in high biopsy rates, no recurrences and better postoperative elbow’s range of motion. Still, the technique selection should be personalised considering the medical expertise of every institution.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of arthroscopy versus percutaneous radiofrequency thermal ablation for the management of intra- and juxta-articular elbow osteoid osteoma: case series and a literature review

Knežević

Bojanić

2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…In this study, six patients (13.33%) had performed secondary surgeries (Figure 2). The reasons were as following: (I) the resection was incomplete; (II) The location of the lesion was inaccurate during the operation; More physicians proposed to perform excision for intra-articular locations of the tumor (23,(28)(29)(30)(31). Over the years, CT-guided techniques, including trephine excision, cryoablation, radiofrequency ablation, and laser thermocoagulation, were reported to be a successful and low risk (32)(33)(34)(35).…”

Section: Discussionmentioning

confidence: 99%

Intra- and juxta-articular osteoid osteoma in children and adolescents

Ni¹,

Zhang²,

Xu³

et al. 2022

Transl Pediatr

View full text Add to dashboard Cite

Background Osteoid osteoma (OO) is a common benign tumor in children and adolescents, but intra-and juxta-articular OO is rare and difficult to diagnose. The purpose of this study is to investigate the distinctions between intra- and juxta-articular OO, trying to avoid delaying diagnosis and optimize treatment strategies. Methods Thirty patients diagnosed with OO in the intra- and juxta joint at our institution who underwent surgical resection were included. Clinical and epidemiological factors, preoperative radiograph parameters, including computed tomography (CT), magnetic resonance imaging (MRI), and bone scan, were documented. The outcomes of the involved extremity were evaluated at the final follow-up. Results Mean age at diagnosis, interval time, and follow-up time was 8.37±3.79 years old, 4.67±5.88 months, 3.57±2.18 years, respectively. Factors identified to be significantly associated with intra- and juxta-articular OO including pain with activity (P=0.004) and abnormal range of motion (P=0.00). The factor of abnormal range of motion (P=0.03) also influenced the existence of complications. Six children had a secondary operation to cure the recurrence. Conclusions It is essential for clinicians and radiologists to be aware of the atypical clinical and radiographic features of intra- and juxta-articular OO, as the delayed diagnosis can lead to unnecessary pain and further complications after surgeries. The pain with activity and abnormal range of motion is helpful to identify the location of OO. The persistently abnormal range of motion also significantly leads to complications. The open surgeries to resect the nidus in juxta-articular OO were effective.

show abstract

“…However, intraoperative visualization of the nidus is often difficult, and therefore, curative surgery can often lead to excessive bone removal, perioperative morbidity and may necessitate bone grafting procedures [ 7 ]. Arthroscopic excision has been found to be a less invasive alterative to open excision for management of osteoid osteoma in the talus [ 8 , 9 ]. In recent times, RFA has been adopted as the standard treatment for osteoid osteoma, with more than 95% success rates [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Osteoid Osteoma of Talus – A Rare Occurrence Mimicking Ankle Arthritis: A Case Report

Pai¹,

Kumar²,

Vanchi³

et al. 2022

JOCR

View full text Add to dashboard Cite

Introduction:Osteoid osteoma is a benign, bone forming tumor which accounts for nearly 10% of all benign bone tumors. The foot is very rarely involved, with only around 2% of osteoid osteomas being reported to occur in bones of the foot. Osteoid osteoma of the talus could present as symptoms mimicking monoarticular arthritis of the ankle. We present a case of osteoid osteoma occurring in the neck of talus, presenting such a diagnostic dilemma. Case Report:A 13-year-old male child had complaints of pain and swelling in his right ankle since 1 year. The pain was predominantly aggravated at night and partially relieved by non-steroidal anti-inflammatory drugs. On examination, we found a diffuse, ill-defined, and soft swelling over the anteromedial aspect of the right ankle, which was anterior and inferior to the medial malleolus. The movements at the ankle joint were restricted and painful. Lateral radiograph of ankle revealed a solitary, osteolytic, and circular lesion involving the neck of the talus. Computed tomography (CT) scan showed a well-defined, lucent, and intramedullary lesion with a sclerotic rim in the neck of talus. The child was diagnosed to have osteoid osteoma of the neck of talus. We performed percutaneous CT-guided radiofrequency ablation (RFA) of the lesion. The child had complete relief of pain after the procedure. The child was followed up for 3 years and had no complaints of pain. Conclusion:Osteoid osteoma very rarely occurs in the talus. It can present as monoarticular arthritis involving the ankle joint and requires a high degree of suspicion to be identified. A CT scan remains the most accurate investigation to confirm the diagnosis. We found percutaneous CT-guided RFA to have yielded good outcome without recurrence. Keywords:Osteoid osteoma, ankle arthritis, talus, radiofrequency ablation.

show abstract

Arthroscopic Management of Osteoid Osteoma of the Ankle Joint: A Systematic Review of the Literature

Cited by 8 publications

References 51 publications

Comparison of arthroscopy versus percutaneous radiofrequency thermal ablation for the management of intra- and juxta-articular elbow osteoid osteoma: case series and a literature review

Comparison of arthroscopy versus percutaneous radiofrequency thermal ablation for the management of intra- and juxta-articular elbow osteoid osteoma: case series and a literature review

Intra- and juxta-articular osteoid osteoma in children and adolescents

Osteoid Osteoma of Talus – A Rare Occurrence Mimicking Ankle Arthritis: A Case Report

Contact Info

Product

Resources

About