Intra-articular Osteoid Osteoma of the Proximal Ulna

Kraus, Gabriel; Fortes, Sofia; Vazquez, Joyce; Renfree, Kevin J.

doi:10.3928/01477447-20140124-29

Cited by 4 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…O steoid osteoma is a painful bone tumor, and has been infrequently described at various locations within the elbow joint. [1][2][3][4] The lesion is usually associated with disabling pain and occasionally may result in progressive stiffness of the elbow. 5 Radiofrequency ablation is usually the treatment of choice; however, arthroscopic excision has been described as an alternate management option and can be combined with arthroscopic elbow adhesiolysis for restoration of motion.…”

mentioning

confidence: 99%

Arthroscopic Excision of Osteoid Osteoma of the Elbow

Bhatia

2017

Arthroscopy Techniques

View full text Add to dashboard Cite

Osteoid osteoma has been reported infrequently around the elbow joint, and is usually treated with radiofrequency ablation or open excision. Elbow arthroscopy is useful for excision of accessible lesions, and the accompanying elbow stiffness can be treated concurrently. This report describes an arthroscopic excision of an osteoid osteoma located in the juxta-articular distal humeral bone. An initial adhesiolysis and capsulectomy is performed to gain access to the region above the capitellar articular margin. A 70° arthroscope is necessary to visualize this region via the anteromedial portal. An accessory lateral portal is used to detach the capsule from the distal humerus; the scar tissue overlying the lesion is debrided and the circumferential lesion is visualized and probed for identification of its extent. A biopsy is performed, and thereafter the lesion is excised piecemeal. The sclerotic margins are curetted, and radiofrequency ablation is performed. The technique is cosmetic and minimally invasive, and can be performed in revision scenarios involving recurrences after open surgery or needle radiofrequency thermal ablation. Early rehabilitation restores range of motion and strength. Technical tips for identification and curettage of the lesion are presented.

show abstract

mentioning

confidence: 99%

Arthroscopic Excision of Osteoid Osteoma of the Elbow

Bhatia

2017

Arthroscopy Techniques

View full text Add to dashboard Cite

show abstract

“…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 ].…”

Section: Discussionmentioning

confidence: 99%

“…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 ]. Surgical excision gives best results in symptomatic patients, while percutaneous ablation is a safe alternative.…”

Section: Discussionmentioning

confidence: 99%

“…CT imaging is considered most specific [ 3 ] and superior to MRI scan [ 6 ]. MRI can show the nidus but defines the soft-tissue features such as joint effusion and synovial pathology better resulting in diagnostic confusions unless interpreted with caution [ 6 ]. Technicium-99 bone scintigraphy shows a hot spot surrounding an area of inactivity but may be absent in joint pathology due to surrounding synovial proliferation and hyperemia.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

“…Our young patient represents such a case, whose X-rays revealed a reactive periostitis lesion that could be mistaken for any other kind of tumor. In order to set the right diagnosis apart from the X-rays, a CT scan and a three-phase bone scan can be very useful [ 7 ]. Even with these examinations, identification of the tumor is difficult.…”

Section: Discussionmentioning

confidence: 99%

A Misguiding Osteoid Osteoma in the Bicipital Tuberosity of the Radius

Δίτσιος

Papadakis

Theodoroudis

et al. 2016

Case Reports in Orthopedics

View full text Add to dashboard Cite

Osteoid osteoma is a benign bone tumor that appears most frequently in young patients. It is more common in males and it concerns mostly the long bones of the lower limb. A 20-year-old young woman presented to our outpatient department with pain in her left elbow. The symptoms began four years ago. At first, her symptoms were attributed to ulnar neuritis, confirmed by nerve conduction studies. In the following two years, she had undergone two surgical operations for decompression of the ulnar nerve. As a result, she reported poor results, which forced her to take frequently anti-inflammatory drugs for some years. When the patient presented to us, we planned a three-phase bone scan and an elbow MRI, which revealed the lesion. Based on the image findings of osteoid osteoma, we proceeded to the surgical removal of the tumor. Since then, the patient is pain-free and has a full range of motion of the affected elbow. Osteoid osteoma usually mimics multiple pathologies in the upper limb especially joint disease posing a challenge for the physician. The diagnosis requires high index of suspicion and a prompt diagnostic and surgical management.

show abstract

Intra-articular Osteoid Osteoma of the Proximal Ulna

Cited by 4 publications

References 12 publications

Arthroscopic Excision of Osteoid Osteoma of the Elbow

Arthroscopic Excision of Osteoid Osteoma of the Elbow

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

A Misguiding Osteoid Osteoma in the Bicipital Tuberosity of the Radius

Contact Info

Product

Resources

About