Osteoid Osteoma in an Adult Wheelchair Basketball Player Mimicking Musculoskeletal Shoulder Pain: Red Flag or a Red Herring?

Maselli, Filippo; Storari, Lorenzo; Lorusso, Mariangela; Mourad, Firas; Pennella, Denis; Barbari, Valerio; Salomon, Mattia; Brindisino, Fabrizio

doi:10.3390/tomography8010032

Cited by 4 publications

(5 citation statements)

References 72 publications

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“…OO are benign bone-forming tumors that are primarily found in adolescents and young adults and present with localized pain. Clinicians should have a strong clinical suspicion of OO in any young patient with back or neck pain, painful scoliosis, or radicular or referred-type pain in the lower limb or shoulder [ 4 ]. Its presentation characteristics can mimic that of a herniated disc or the lesion may cause radicular-like symptoms in the shoulders and arms.…”

Section: Discussionmentioning

confidence: 99%

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Doelakeh,

Weerarathna,

Luharia

2024

Cureus

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Osteoid osteoma (OO) is a common benign ossifying lesion that is most prevalent among youth. Usually, it attacks the diaphyseal or metaphyseal bones that are tubular. The common hallmark of muscle pain is the reported occurrence of night pain that is nearly always present, yields satisfactory responses from nonsteroidal anti-inflammatory medications, and may be joined by complaints regarding physical activities. Also, it shows typical signs of study procedures like computed tomography (CT) and magnetic resonance imaging (MRI). A nidus, which is the primary marker in the diagnostic formation of shadowed images, is a crucial sign of an OO. This source is usually portrayed as an oval lytic lesion, measuring 1 cm flat and surrounded by a region of reactive ossification. It is laborious to diagnose OO since the condition is frequently confused with many other ones, and testing and therapy may be delayed and complicated as a result. There are still few studies on OO diagnosis and distinguishing of surrogate conditions. Unfortunately, either ablation or resection can be said to be the cure. Improved detection of OO shows the possibility for prompt diagnosis, fewer patient discomfort and side effects, less cost involved in unnecessary treatments, and a rightly diagnosed condition.

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Section: Discussionmentioning

confidence: 99%

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Doelakeh,

Weerarathna,

Luharia

2024

Cureus

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“…The possibility of a bone tumour in a child with unexplained musculoskeletal pain should always be considered. Osteoid osteoma may co-occur with or clinically mimic musculoskeletal conditions such as chronic shoulder pain [ 4 , 51 ]. Also, fibrous dysplasia and fatigue fractures can cause cortical thickening and proliferation, which can lead to a misdiagnosis of OO [ 37 ].…”

Section: Atypical Osteoid Osteomas: Presentation and Diagnosismentioning

confidence: 99%

“…A typical symptom of osteoid osteoma is night pain, which responds well to non-steroidal anti-inflammatory drugs. Pain usually occurs around the clock, but awakenings from sleep are characteristic, which is particularly troublesome for the patient [ 4 ]. The cause of the pain is probably the localised high levels of prostaglandins, especially prostaglandin E, accompanying osteoid osteoma [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature

Napora

Wałejko

Mazurek

2023

JCM

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Osteoid osteoma (OO) is a common benign bone tumour, usually affecting young people. Typically, it is localised to the diaphyses or metaphyses of long bones. The classical manifestation includes distinctive night pain, almost always present, responding well to non-steroidal anti-inflammatory drugs, sometimes accompanied by complaints due to physical activity, and a typical picture on additional tests. A characteristic of osteoid osteoma is the presence of a nidus, usually visible on imaging tests. The nidus generally presents as a single, round lytic lesion up to 1 cm in diameter, surrounded by an area of reactive ossification. However, OO is a multifaceted neoplasm, and its diagnosis can cause numerous difficulties. OO can mimic multiple diseases and vice versa, which often leads to a prolonged diagnostic and therapeutic path and associated complications. There are few literature reviews about the differentiation and diagnostic difficulties of osteoid osteoma. Very effective therapies for this tumour are known, such as ablation and resection. Enhanced detection of osteoid osteoma could result in faster diagnosis and less suffering for the patient, avoidance of complications, and reduced costs of incorrect and prolonged treatment.

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“… 1 , 2 Shoulder pain is commonly caused by neuromusculoskeletal disorders, such as rotator cuff tendinopathy, subacromial impingement syndrome, and adhesive capsulitis. 3 , 4 However, non-neuromusculoskeletal disorders such as abdominal disease 5 , 6 or bone tumor 7 can mimic musculoskeletal shoulder pain. Scapula winging, an abnormal scapular mechanism, is another disorder that causes shoulder pain and dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Surgical Repair for Rhomboid Major Tear: A Case Report

Furuhata,

Yamaguchi,

Tanji

2023

Clin Med�Insights�Arthritis�Musculoskelet Disord

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Rhomboid tears are a rare type of tendon injury. Although rhomboid tears can present with periscapular pain and scapular dyskinesis, their clinical presentations and diagnostic procedures remain largely unknown. In addition, few reports are available on the surgical treatment of rhomboid tears. We report a rhomboid repair case for a complete rhomboid major tear diagnosed based on physical findings and magnetic resonance imaging (MRI). A 28-year-old man presented with right medial scapular pain that appeared after carrying a heavy box. He had right medial scapular tenderness, with worsening pain during shoulder joint elevation. The inferior pole of the right scapula was lateral compared with the left scapula, and a dent was observed on the medial scapula. Magnetic resonance imaging revealed a tear in the right rhomboid major at its insertion, with muscle retraction. Two months of conservative treatment failed to improve his symptoms; therefore, we performed a surgical repair. We created the bone holes on the medial border of the scapula and repaired the torn rhomboid major muscle to its insertion using the Krackow stitch technique. He had a satisfactory functional outcome without postoperative retearing. This case report provides new information on the clinical presentation and surgical procedure of rhomboid major tears and the first MRI finding that depicts a rhomboid tear clearly. In cases of rhomboid tears, persistent medial scapular pain and winging scapula can be clinically problematic, requiring surgery. In addition to physical findings, a periscapular MRI is useful in diagnosing rhomboid tears. The results of this case study suggest that surgical repair using locking sutures is an option for treating complete rhomboid tears with muscle retraction.

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Osteoid Osteoma in an Adult Wheelchair Basketball Player Mimicking Musculoskeletal Shoulder Pain: Red Flag or a Red Herring?

Cited by 4 publications

References 72 publications

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature

Surgical Repair for Rhomboid Major Tear: A Case Report

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