Osteoid osteoma: the results of surgical treatment

Yıldız, Yusuf; Bayrakçı, Kenan; Altay, Murat; Sağlık, Yener

doi:10.1007/s002640100231

Cited by 83 publications

(65 citation statements)

References 15 publications

(18 reference statements)

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“…The rate of recurrence with surgical therapy ranges from 0% to 12% in published series [13,58,64,70,71]. Disadvantages of these approaches include activity restrictions if the tumor was in a weightbearing location [70], the need for plating in some patients [13,64], donor site morbidity if grafting is used [71], and postoperative fracture [64].…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

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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“…Persistence of symptoms greater than 1 month after RFA can be regarded as treatment failure and additional therapy may be considered [8]. With successful surgery, relief of symptoms occurs within 24 hours in 91% and within 48 hours in 9% of patients [44].…”

Section: Discussionmentioning

confidence: 99%

“…Rosenthal et al [32] reported an average hospital stay of 4.7 days for open surgery. Patients also may require a period of protected weightbearing (up to 3 months [44]), and they may experience pain arising from the resected lesion or graft donor sites. They also may need to restrict their normal activities for a prolonged time [18].…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency Ablation of Osteoid Osteoma in Atypical Locations: A Case Series

Akhlaghpoor

Aziz-Ahari

Shabestari

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background Osteoid osteoma has a nidus surrounded by sclerotic bone with a size usually less than 20 mm. Its diagnosis is made on typical presentation of nocturnal pain and imaging findings. Excision of the niduses, which are often small and difficult to precisely identify, sometimes may result in resection of surrounding normal bone. Minimally invasive percutaneous treatments have been used to try to minimize resection of normal bone. Although minimally invasive radiofrequency ablation generally relieves pain, its ability to relieve pain is less well known in locations other than lower extremity long bones. Questions/purposes We determined the pain relief and complication rates after radiofrequency ablation of osteoid osteomas presenting in atypical locations and followed patients to assess possible recurrence or late complications. Patients and MethodsWe retrospectively reviewed 21 patients with osteoid osteomas in unusual locations (eg, hip, radioulnar joint, and proximal phalanx) in whom we used radiofrequency ablation. Postoperative activities were not restricted for any of the patients. We assessed the time for patients to become symptom free, their activity status, and possible recurrence or complications. The minimum clinical followup was 12 months (mean, 27.8 months; range, 12-37 months).

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“…Differential diagnoses include: osteoblastoma, stress fracture, abscess, intracortical osteosarcoma, enostosis [15]. Surgical excision is the most common treatment; en-bloc resection along with the surrounding reactive bone is associated with a lower rate of recurrence, even though it is associated with higher risk of fracture because of bone loss [16]. Recent studies report an equivalent rate of success to surgery using percutaneous CT-guided techniques such as laser or radio-frequency ablation [17,18].…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma of the Distal Fibula: a Case Report of a Very Rare Location Treatment

Santini¹,

Merendi²,

Rocchi³

2017

J Bone Res

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Osteoid Osteoma (OO) is a very common small benign osteoblastic tumor. It represents 10% of all bone benign lesions, and is usually localized to the proximal metadiaphysis of the femur. We report the case of an OO localized in the distal inner metadiaphysis of the fibula. To our knowledge this is the first report in literature. We performed enbloc resection because of the deep localization of the lesion, which was not reachable by minimally invasive procedures. At 6 months follow-up bone stock reconstitution was observed, and no relapse occurred at 1 year. Plain X-rays are generally sufficient to make a diagnosis. When radiological findings are not suggestive, computed tomography and bone scan represent second level examinations. Minimally invasive procedures represent a promising and valuable treatment, but open surgery shall be still taken in account when the location is not easy to reach and/or it is in proximity to neurovascular structures.

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Osteoid osteoma: the results of surgical treatment

Cited by 83 publications

References 15 publications

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

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

Radiofrequency Ablation of Osteoid Osteoma in Atypical Locations: A Case Series

Osteoid Osteoma of the Distal Fibula: a Case Report of a Very Rare Location Treatment

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