Osteoid osteoma of the shoulder and elbow: from diagnosis to minimally invasive removal

Glanzmann, Michael C.; Imhoff, Andreas B.; Schwyzer, Hans‐Kaspar

doi:10.1007/s00264-013-2060-9

Cited by 19 publications

(12 citation statements)

References 15 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If the pain is periarticular, clinical and radiologic manifestations may resemble the inflammatory arthritis or osteomyelitis.The radiologic images often represent them as lack of sclerosis and periosteal reaction (4).…”

Section: Discussionmentioning

confidence: 99%

Sub Cortical Osteoid Osteoma of the Capitulum: A Case Report

et al. 2017

View full text Add to dashboard Cite

Osteoid osteoma near the joints is a rare case which is difficult to diagnose. Osteoid osteomas refer to solitary, benign, agonizing lesions of the bone with a nidus of 1.5 to 2 cm, which consists of osteoid, osteoblasts, and varying quantity of fibrovascular stroma. This study reports the case of 37-year-old man with a painful flexion contracture of left elbow for 18 months, then was diagnosed a peri-articular osteoid osteoma. Any attempt for movement, whether passive or active, exacerbated the pain. His conditions was treated as tennis elbow and treated for several months, but his pain persisted continuously. A subcortical osteoid osteoma was observed in fine-cut CT scan within the posterior cortex of the capitulum. Thus, a wide en bloc surgical excision of the nidus was implemented, with total mitigation of pain and quick return to daily activities. It is stressed that history of disease and detailed physical examination can help diagnosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Sub Cortical Osteoid Osteoma of the Capitulum: A Case Report

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Moreover, OO localized in the CP usually presents with anterior shoulder pain and pathological entities such as shoulder instability, impingement syndrome or the rotator cuff tear are usually suspected 13 . In addition, OO of the CP may cause stiff ness of the antero-superior capsule, leading to painful movement restriction or even neurological symptoms due to the aff ected infraclavicular brachial plexus as the result of soft tissue edema 14,27 . OO may also be conjoined with bone deformity, muscle atrophy or swelling of the surrounding tissues.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…However, if plain radiographs reveal reactive bone formation and osteosclerosis, CT is further indicated since it provides high sensitivity and precision, which are the key features for future treatment. In cases when the underlying tumor cannot be detected on plain radiographs, MRI is usually performed since it provides excellent visualization of both the tumor and the accompanying bone marrow edema 14,30 . A great number of methods have been used in the treatment of OO including a wide spectrum of methods ranging from seldom used conservative approach with NSAIDs over minimally invasive percutaneous treatments which are currently considered the treatment of choice to open surgical methods.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…A great number of methods have been described in the treatment of OO including a wide spectrum ranging from seldom-used conservative approach with NSAIDs over minimally invasive percutaneous treatments (mechanical, chemical or thermal ablation) to open surgical methods (en bloc resections and curettage techniques) [9][10][11][12][13][14][15][16][17][18][19][20][21] . Th erapeutic approach merely depends on numerous factors, among which anatomical localization is one of the most important factors in decision-making.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Osteoid Osteoma of the Coracoid Process: Case Report With Literature Review

Božić

Josipović

Bohaček

et al. 2016

acc

View full text Add to dashboard Cite

SUMMARY -Osteoid osteoma (OO) is the most common benign osteogenic bone tumor that predominantly aff ects young adults. OO is commonly localized in long bones, and therefore, it is rarely considered in diff erential diagnosis of chronic shoulder pain. We report a case of a 22-year-old male athlete, without history of previous trauma, who presented to our Department with chronic shoulder pain, which escalated during the night and responded to nonsteroidal anti-infl ammatory drug treatment. Considering these typical symptoms, diagnostic pathway was immediately directed towards OO, with magnetic resonance and computed tomography confi rming the diagnosis of OO of the coracoid process (CP). Since neurovascular structures are in the proximity of CP, and this very delicate area does not support radiofrequency ablation, we decided to perform an open procedure with drilling of the lesion and excochleation. Th e pain withdrew immediately after the procedure, and on six-month follow up the patient remained pain free. In the treatment of OO of the CP, we recommend open surgical procedure with tumor ablation by drilling instead of CP resection, presenting a safe, simple and low-cost method that simultaneously completely destroys the lesion and preserves the anatomical and functional role of CP.

show abstract

“…Ağrıların başlangıcı ile ortalama tanı arasındaki süreye bakıldığında 18 ila 26 ay arasında değişen süreler mevcut iken bizim çalışmamızda bu değer 19,9 ay idi ve literatür ile uygundu (23,24). Perkütan ablasyon tedavisi Rosenthal ve ark.…”

Section: Girişimsel Teknikunclassified

Is Biopsy Absolutely Necessary For Osteoid Osteomas Treated with Percutaneous Ablation?

Gülenç¹,

Güngören²,

Erol³

et al. 2019

btd

View full text Add to dashboard Cite

Amaç: Osteoid osteoma, sık görülen ve benign karakterde bir kemik tümörüdür. Hastalar, rahatsız edici gece ağrıları ile ortopedi kliniğine başvurur ve çoğu tanı konulduğunda uzun süreli şikayetlere sahiptir. Tedavisinde konservatif izlem yapılabileceği gibi cerrahi tedavi akut olarak ağrının kesilmesinde ve tümörün vücuttan uzaklaştırılmasında daha etkilidir. Son 20 yıl içerisinde özellikle cerrahi ulaşım açısından riskli konumda bulunan bölgelerde perkütan ablasyon tedavisi minimum risk içeriği ile güvenle kullanılmaktadır. İşlem öncesi radyologların bir kısmı nidustan biyopsi aldıktan sonra ablasyon yaparken bir kısmı ise direkt ablasyon işlemini gerçekleştirmektedir. Çalışmanın amacı osteoid osteoma tanısı ile perkütan ablasyon yapılmasına karar verilen hastalarda biyopsi sonucunun etkinliği ve kliniğe yansımasını değerlendirmektir. Yöntemler: Retrospektif olarak planlanan çalışmaya Ocak 2013-Aralık 2016 arasında kliniğimizde osteoid osteoma tanısı ile perkütan ablasyon yapılan 10 hasta dahil edildi. Tüm hastalara girişim öncesi biyopsi yapılmıştı. İşlem öncesi biyopsi yapılmayan hastalar, takipten çıkan hastalar ve biyopsi sonucunda osteoid osteoma tanısı dışında tanı alan hastalar çalışmadan çıkarıldı. Hastaların biyopsi sonuçları ve görüntüleri retrospektif olarak elde edildi. Biyopsi sonucu pozitif ve negatif olan hastaların klinik sonuçları, nüks oranları ve maliyetleri karşılaştırıldı. Bulgular: Çalışmaya dahil edilen 10 hastanın ortalama yaşı 17,3 (4-35) idi. Tüm hastalar en az iki yıl süre ile takip edilerek nüks edip etmediği ve şikayetlerinin devam edip etmediği telefon ile sorgulandı. Yedi hastada biyopsi sonucu osteoid osteoma tanısı koyduran nidus görülürken, 3 hastada ise nidus görüntüsü görülmedi. Tüm hastalarda iki yıllık takip içerisinde nüks görülmezken, hiçbir hastada işlem sonrası sebat eden ağrı görülmedi. İstatistiksel olarak nidus görülen ve görülmeyen hastalar arasında klinik ve nüks açısından anlamlı fark görülmedi. Sonuç: Osteoid osteoma tedavisinde perkütan ablasyon etkin olarak kullanılabilecek ve yüksek oranlarda kür sağlama potansiyeli olan bir yöntemdir. İşlem öncesi yapılan biyopsinin pozitif veya negatif oluşunun, hastaların klinik gidişi ve nüks üzerinde herhangi bir etkisi yoktur. Anahtar Kelimeler: Osteoid osteoma, perkütan ablasyon, biyopsi, nüks Objective: Osteoid osteoma is a common bone tumor with a benign character. Patients present to orthopedics clinic with irritating nocturnal pain and many of them have a long history of complaints at the time of diagnosis. Its management is mainly conservative although surgical treatment is more effective at alleviating pain and removing tumor. In the last 20 years percutaneous ablation has been safely used with minimum risk, especially for bony regions that are risky for surgical access. Whereas some radiologists perform ablation after taking biopsy from nidus, some others directly proceed with ablation. The aim of the present study was to assess the effect of biopsy result on osteoid osteoma management and its implication on clini...

show abstract

Osteoid osteoma of the shoulder and elbow: from diagnosis to minimally invasive removal

Cited by 19 publications

References 15 publications

Sub Cortical Osteoid Osteoma of the Capitulum: A Case Report

Sub Cortical Osteoid Osteoma of the Capitulum: A Case Report

Osteoid Osteoma of the Coracoid Process: Case Report With Literature Review

Is Biopsy Absolutely Necessary For Osteoid Osteomas Treated with Percutaneous Ablation?

Contact Info

Product

Resources

About