Image-guided Percutaneous Radiofrequency Ablation for Osteoid Osteomas

Venbrux, Anthony C.; Montague, Brian J.; Murphy, Kieran; Bobonis, Lauren A.; Washington, Stanley B; Soltes, Amy P.; Frassica, Frank J.

doi:10.1097/01.rvi.0000058420.01661.8c

Cited by 72 publications

(35 citation statements)

References 11 publications

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“…Newer treatment options for osteoid osteoma include various imaging guided interventions, such as percutaneous laser photocoagulation, ethanol injection, and, more commonly, percutaneous radiofrequency (RF) ablation [9][10][11][12]. For radiofrequency ablation, fluoroscopic, or, more commonly, CT guidance, is used to guide an RF probe into the central nidus of the osteoid osteoma, which is then heated to approximately 90-C [11].…”

Section: Discussionmentioning

confidence: 99%

Magnetic Resonance Imaging Diagnosis and Computed Tomography-Guided Radiofrequency Ablation of Osteoid Osteoma

2006

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Section: Discussionmentioning

confidence: 99%

Magnetic Resonance Imaging Diagnosis and Computed Tomography-Guided Radiofrequency Ablation of Osteoid Osteoma

2006

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“…Cryotherapy, ethanol therapy and imaging-guided excision are considered second-line therapies. Surgery remains the standard treatment in cases where histology of the lesion is in doubt or when other minimally invasive techniques are not applicable or failed [19][20][21][22][23][24][25][26][27].…”

Section: Nidusmentioning

confidence: 99%

Magnetic resonance imaging findings of osteoid osteoma of the proximal femur

et al. 2004

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Osteoid osteoma (OO) is a benign bone tumor whose main radiological finding is nidus. OO of the proximal femur can also result in non-specific findings such as hip joint effusion, perinidal bone marrow edema and soft tissue mass. Since the nidus may be difficult to identify with MR, these non-specific findings can lead to erroneous diagnosis. Therefore, MR imaging technique should be optimized in order to identify nidus. Since MR imaging has assumed increasing importance in the evaluation of disorders of the hip, radiologists must be aware of the spectrum of findings of OO of the proximal femur. The aim of this pictorial review is to show the MR imaging findings of intra-articular and extra-articular OO of the proximal femur.

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“…Conservative treatment includes NSAIDS and aspirin which may relive the pain, however in case of persistent pain and functional limitation there are several treatment options which include: open surgical resection, CT and fluoroscopy guided percutaneous resection, CT-guided laser interstitial thermal therapy, and RFA therapy. Minimally invasive RFA has become a common treatment modality for OOs (20,37) with relatively high success rates (20,30,31). This technique has several advantages over open procedures including lower morbidity and complication rates, lower costs, and shorter hospital stay (38).…”

Section: Discussionmentioning

confidence: 99%

“…This technique has several advantages over open procedures including lower morbidity and complication rates, lower costs, and shorter hospital stay (38). Common reported complications include superficial skin burns (30,37), cellulitis, sympathetic dystrophy (32), and self-limiting numbness (22,31). A femur-shaft fracture has not been described previously in literature, however two cases of late sub-trochanteric fractures following RFA were recently reported (34,35).…”

Section: Discussionmentioning

confidence: 99%

Femur shaft fracture following osteoid osteoma radiofrequency ablation

Mazzawi

Militianu

Eidelman

et al. 2017

ccmbm

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SummaryIntroduction. Radiofrequency ablation is an effective modality in treating osteoid osteoma while avoiding the complications of an open procedure. Its complications are usually self-limited consisting mostly of local skin burns. This report presents a major complication, a femur shaft fracture following an osteoid osteoma radiofrequency ablation. The fracture occurred approximately one year after the ablation at the site of the osteoid osteoma. Discussion. Few case reports have been published regarding subtrochanteric femur fracture after ablation of an osteoid osteoma. To our knowledge this is the first report of a femoral shaft fracture following an ablation. Another unique characteristic of the presented case is the late presentation, approximately one year following ablation. Factors which may have contributed to the fracture include lateral entry point of the drill which may have weakened the femur when taking its biological and mechanical properties into account, and the fact that the patient was a soldier who was allowed to continue his military training only six weeks after the ablation. Conclusion. Radiofrequency ablation is an effective and relatively safe technique in treating osteoid osteomas, however the physician should be aware of the fracture risk involved, consider mechanical and biologic factors of the bone prior to drilling, and be very conservative when recommending return to high level activity. In addition, a close follow-up should be carried on after the procedure in order to supervise bone remodeling.

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Image-guided Percutaneous Radiofrequency Ablation for Osteoid Osteomas

Cited by 72 publications

References 11 publications

Magnetic Resonance Imaging Diagnosis and Computed Tomography-Guided Radiofrequency Ablation of Osteoid Osteoma

Magnetic Resonance Imaging Diagnosis and Computed Tomography-Guided Radiofrequency Ablation of Osteoid Osteoma

Magnetic resonance imaging findings of osteoid osteoma of the proximal femur

Femur shaft fracture following osteoid osteoma radiofrequency ablation

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