Computed tomography–Guided endoscopic removal of an osteoid osteoma from the femur

Mastrokalos, Dimitrios S.; Pässler, Hans H.; Tibesku, Carsten O.; Wrazidlo, W

doi:10.1053/jars.2001.8023

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Despite the relatively high prevalence of these benign neoplasms, the literature is replete with case reports of rare presentations of osteoid osteoma. Various reports of osteoid osteoma in the hand, [25][26][27][28][29][30][31] foot, 13,[32][33][34][35][36][37] shoulder, 12,20,38 and even the face, 39 and teeth 40 are available. As previously mentioned, although osteoid osteomas are common, they most often occur in long bones, the spine, and pelvis, and thus these isolated case reports do indeed represent rare occurrences.…”

Section: Discussionmentioning

confidence: 99%

“…With regard to the knee, several scattered reports that analyze rare presentations of osteoid osteoma within the proximal tibia, distal femur, and even the patella [4][5][6][7][8][9][10][11][12][13][14][15][16][17] are available. In 1985, Torg et al 16 reported on 11 cases of osteoid osteoma in physically active people with a mean duration of symptoms of approximately 20 months before appropriate diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…As seen intraoperatively, the lesion was visualized as an outpouching of the articular cartilage within the notch, with a soft-tissue filled cavity of subchondral bone beneath. The treatment options for osteoid osteomas are variable, 1,2,8,10,12,13,[41][42][43] and nonoperative management with NSAIDs is the logical first step. In the current case, the patient had clearly already failed multiple efforts of both prior nonoperative and operative management; however, it should be noted that the prior operative attempts did not address the actual lesion.…”

Section: Discussionmentioning

confidence: 99%

“…discussing these lesions within and around the knee, [4][5][6][7][8][9][10][11][12][13][14][15][16][17] and currently there are no reports available describing such a lesion located within the intercondylar notch.…”

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Osteoid Osteoma of the Intercondylar Notch: An Uncommon Cause of Knee Stiffness

et al. 2013

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Osteoid osteomas are self-limiting, benign, bone-forming neoplasms. 1,2 First described by Jaffe in 1935, 3 these lesions are common and account for 10 to 12% of all benign bone tumors. These lesions almost always occur in patients younger than 30 years, are more common in males than females (approximately 2 to 1 ratio), and over 50% of the time are found within the metaphysis or diaphysis of long bones. Such lesions can be extremely painful, and the classic presentation involves a young patient with night pain in the tibia or femur that is relieved with oral salicylates. The presence of an osteoid osteoma in a periarticular or intra-articular location about the knee is rare. Osteoid osteoma of the knee may present with nonspecific complaints including knee pain, stiffness, effusions, and atrophy. Depending on the clinical setting, these symptoms could represent a variety of different diagnoses, including meniscal pathology, chondral pathology, synovitis, or Plica syndrome. Radiographic findings are often normal, and advanced imaging is required for diagnosis and treatment. Although intra-articular osteoid osteomas have been described, there remains a paucity of case reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Osteoid Osteoma of the Intercondylar Notch: An Uncommon Cause of Knee Stiffness

et al. 2013

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“…Since then, this small (less than 1.5 cm), painful tumor has been reported in more than 1200 cases 19 and makes up approximately 10% of all benign bone tumors. 1,23 With a peak incidence in the first 3 decades of life, this tumor occurs approximately 3 times more commonly in males, 2,18 half of the time in the femur and tibia 11 and 13% of the time within a joint, with the most common site being the hip. 18,20 The typical patient with osteoid osteoma will have pain at night that is responsive to salicylates.…”

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Arthroscopic Visualization and Assisted Excision of Osteoid Osteoma at the Knee

2007

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In describing 5 cases of benign osteoblastic tumors composed of osteoid and atypical woven bone, Jaffe 17 in 1935 introduced the term osteoid osteoma, although it had been previously described by Bergstrand 4 in 1930. Since then, this small (less than 1.5 cm), painful tumor has been reported in more than 1200 cases 19 and makes up approximately 10% of all benign bone tumors. 1,23 With a peak incidence in the first 3 decades of life, this tumor occurs approximately 3 times more commonly in males, 2,18 half of the time in the femur and tibia 11 and 13% of the time within a joint, with the most common site being the hip. 18,20 The typical patient with osteoid osteoma will have pain at night that is responsive to salicylates. In a young patient, this history, supplemented by classic imaging findings, tends to make the diagnosis of osteoid osteoma straightforward. However, if the tumor has intra-articular involvement, the diagnosis can become much more difficult, as an atypical picture may unfold both clinically and radiologically. 9,14,15,22 Clinically, the presence of joint effusions, synovitis, range of motion limitations, weakness, flexion deformity, atrophy, or contractures may exist. Radiologically, there may be a lack of characteristic osteoid osteoma imaging findings. 14,32 Although intra-articular involvement of osteoid osteomas have been described since 1935, there have only been 2 reported cases of osteoid osteomas within the synovial cavity of the knee. 6,16 From these reports, 1 was removed arthroscopically. In this article, we present the first published arthroscopic images of an osteoid osteoma at the knee joint and review the relevant literature.

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