Osteoid osteoma of the acetabulum

Karray, S.; Zlitni, M.; Karray, M.; Moalla, Myriam; Zouari, Mohamed; Douik, M.; Sliman, N.

doi:10.1007/bf00195226

Cited by 15 publications

(4 citation statements)

References 9 publications

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“…An osteoid osteoma of the acetabulum is rare (0.5%) [7, 14] and difficult to diagnose. In recent literature, we found six case reports of arthroscopic removal of an osteoid osteoma of the acetabulum [1, 4, 8, 9].…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic removal of an osteoid osteoma of the acetabulum

Barnhard

Raven

2011

Knee Surg Sports Traumatol Arthrosc

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In this case report, we describe the arthroscopic removal of an osteoid osteoma from the acetabulum in a young adolescent. After identifying the osteoid osteoma close to the cartilage with MRI and CT investigations, we decided that in this case, arthroscopic removal was the best treatment. In the case of an osteoid osteoma in the acetabulum close to the cartilage, arthroscopic removal should be considered as one can treat the associated osteochondritic lesion during this procedure.Level of evidence IV.

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Section: Introductionmentioning

confidence: 99%

Arthroscopic removal of an osteoid osteoma of the acetabulum

Barnhard

Raven

2011

Knee Surg Sports Traumatol Arthrosc

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“…The acetabulum is an uncommon but painful location often associated with children [29]. There have been numerous reported cases of OO in the acetabulum [4,9,18,20,21,28,29,36,40,41,44,48,49,52,55,56,67]. Juxtaarticular and intraarticular localizations frequently are associated with a delayed diagnosis, as seen in our patient [24].…”

Section: Discussionmentioning

confidence: 53%

Case Report: Osteoid Osteoma of the Acetabulum Treated With Arthroscopy-assisted Radiofrequency Ablation

Ricci

Grappiolo

Franco

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Osteoid osteomas consist of a nidus surrounded by reactive sclerotic bone. The diagnosis typically is based on imaging and clinical presentation involving nocturnal pain. Removal of the lesion is essential and currently is performed mainly with image-guided, minimally invasive techniques. We describe a case involving an osteoid osteoma of the acetabular fossa, treated with arthroscopy-assisted radiofrequency ablation. Case Description A 47-year-old woman presented with a 9-month history of right groin pain and limited motion. The CT and MR images showed synovitis around the ligamentum teres and a nidus of the acetabular fossa, surrounded by sclerotic bone and protruding from the inner part of the lamina quadrilateral. Synovectomy and debridement of the ligamentum teres were performed, followed by radiofrequency ablation of the osteoid osteoma under direct arthroscopic observation of the hip, avoiding resection of the normal bone around the nidus and preserving the integrity of the quadrilateral lamina and cartilage. The patient had complete pain relief the next day with minimal morbidity and rapid functional restoration. At the 22-month clinical followup, the patient was asymptomatic, and the CT and MR images obtained 1 year after surgery showed no pathologic signs or synovitis. Literature Review Our case was the fifth such case to be treated with hip arthroscopy and the first of these to our knowledge to be treated with the arthroscopy-assisted radiofrequency ablation technique. Purposes and Clinical Relevance Arthroscopy-assisted radiofrequency ablation is a combined treatment technique that may be used for intraarticular lesions of the hip that otherwise would require a difficult approach and jeopardize damage to cartilage and bone and also treat concomitant synovitis.

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“…Osteoid osteomas located within the articular capsule are rare and often difficult to detect. [36][37][38][39][40][41][42][43] Any joint may be involved, but the most vexing diagnostic problems involve the elbow, hip, [44][45][46][47][48][49][50][51][52][53] and ankle joints. Associated symptoms are nonspecific and similar to other common joint disorders.…”

Section: Discussionmentioning

confidence: 99%

“…Femoral neck lesions have been excised through the Smith-Petersen approach. 14 Acetabular lesions have been exposed anteriorly, with or without dislocation of the femoral head, 47,48,53 or with the Ludloff approach. 45 Medial acetabular tumors have been reached via an extended iliofemoral approach with osteotomy of the anterior superior iliac spine and reflection of the iliacus muscle 46 ; lateral locations have been treated with detachment of the greater trochanter.…”

Section: Discussionmentioning

confidence: 99%