Riddles in the diagnosis and treatment of osteoid osteoma in child foot: A concisive study

Papachristos, Ioannis V.; Michelarakis, John

doi:10.1016/j.fas.2015.05.009

Cited by 8 publications

(11 citation statements)

References 31 publications

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“…Osteoid osteoma involving the talus is extremely rare, with diversity of symptoms often leading to a delay in diagnosis. The classical symptom of nocturnal pain and relief with NSAIDs is reported to occur only in half the cases [ 4 ]. Swelling is postulated to occur due to the increased blood supply to the tumor resulting from prostaglandin release within the nidus.…”

Section: Discussionmentioning

confidence: 99%

“…Swelling is postulated to occur due to the increased blood supply to the tumor resulting from prostaglandin release within the nidus. The mean age for osteoid osteoma in the foot is 12 years [ 4 ]. If a tumor is located close to a joint, like in our case, it can present with pain in the joint, joint effusion, or restriction of joint movements.…”

Section: Discussionmentioning

confidence: 99%

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Osteoid Osteoma of Talus – A Rare Occurrence Mimicking Ankle Arthritis: A Case Report

Pai¹,

Kumar²,

Vanchi³

et al. 2022

JOCR

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Introduction:Osteoid osteoma is a benign, bone forming tumor which accounts for nearly 10% of all benign bone tumors. The foot is very rarely involved, with only around 2% of osteoid osteomas being reported to occur in bones of the foot. Osteoid osteoma of the talus could present as symptoms mimicking monoarticular arthritis of the ankle. We present a case of osteoid osteoma occurring in the neck of talus, presenting such a diagnostic dilemma. Case Report:A 13-year-old male child had complaints of pain and swelling in his right ankle since 1 year. The pain was predominantly aggravated at night and partially relieved by non-steroidal anti-inflammatory drugs. On examination, we found a diffuse, ill-defined, and soft swelling over the anteromedial aspect of the right ankle, which was anterior and inferior to the medial malleolus. The movements at the ankle joint were restricted and painful. Lateral radiograph of ankle revealed a solitary, osteolytic, and circular lesion involving the neck of the talus. Computed tomography (CT) scan showed a well-defined, lucent, and intramedullary lesion with a sclerotic rim in the neck of talus. The child was diagnosed to have osteoid osteoma of the neck of talus. We performed percutaneous CT-guided radiofrequency ablation (RFA) of the lesion. The child had complete relief of pain after the procedure. The child was followed up for 3 years and had no complaints of pain. Conclusion:Osteoid osteoma very rarely occurs in the talus. It can present as monoarticular arthritis involving the ankle joint and requires a high degree of suspicion to be identified. A CT scan remains the most accurate investigation to confirm the diagnosis. We found percutaneous CT-guided RFA to have yielded good outcome without recurrence. Keywords:Osteoid osteoma, ankle arthritis, talus, radiofrequency ablation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Osteoid Osteoma of Talus – A Rare Occurrence Mimicking Ankle Arthritis: A Case Report

Pai¹,

Kumar²,

Vanchi³

et al. 2022

JOCR

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“…Men are 3 times more affected than women [1,2]. The average onset is between 5 and 25 years of age [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Pain during the night cannot occur or in some cases, it occurs in a location outside of the lesion [4].…”

Section: Introductionmentioning

confidence: 99%

Recent advances on diagnosis and treatment of osteoid osteoma

Gryglewski¹,

Napora²,

Wałejko³

et al. 2022

Chir. Narzadow Ruchu Ortop. Pol.

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Osteoid osteoma (OO) is a benign bony lesion with a characteristic radiologic feature of x-ray focus (nidus). The most common symptom indicating diagnosis is strong nocturnal pain that eases with nonsteroidal anti-inflammatory drugs (NSAID). Computed tomography (CT) is a method of choice for diagnosing and localizing the tumor. Osteoid osteoma can regress spontaneously, thus conservative treatment is one of the methods of choice. In the past open resection surgery had been a standard management of osteoid osteoma until radiofrequency ablation (RFA) was discovered in the early 1990s. Nowadays, there are a few minimally invasive treatment techniques that are used. CT-guided radiofrequency ablation is considered a gold standard technique these days. Many cases occur with late diagnosis, and delayed treatment despite of characteristic symptoms. Therefore, it is crucial to be familiar with the clinical features of osteoid osteoma, proper diagnostic patterns, and treatment schemes.

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“…Juxta-articular osteoid osteomas can present with features similar to that of inflammatory synovitis, and in such cases radiological features can be atypical. Due to atypical presentation, diagnosis is often delayed and a high degree of suspicion is needed for early diagnosis [5]. Plain radiographs, CT, MRI and bone scan are the investigations of choice and CT is the gold standard investigation for diagnosing this lesion [6].…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma of the Talus: Rare entity, Rare Presentation and a Novel Method of Management: A Case Report

Srampickal¹,

Palocaren²

2016

Clin Res Foot Ankle

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Osteoid osteoma is a rare entity in the tarsal bones especially in children. High degree of suspicion is needed for early diagnosis and delay in diagnosis can cause significant disability. Radiofrequency ablation (RFA) is safe, minimally invasive method especially to treat juxta-articular and inaccessible lesions. Atypical Osteoid osteoma can present with clinical features similar to that monoarticular juvenile idiopathic arthritis. This case highlights the unique features of a rare entity and a successful method of treating Osteoid Osteoma of the Talus with radiofrequency ablation after procuring tissue for biopsy by a novel method.

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Riddles in the diagnosis and treatment of osteoid osteoma in child foot: A concisive study

Cited by 8 publications

References 31 publications

Osteoid Osteoma of Talus – A Rare Occurrence Mimicking Ankle Arthritis: A Case Report

Osteoid Osteoma of Talus – A Rare Occurrence Mimicking Ankle Arthritis: A Case Report

Recent advances on diagnosis and treatment of osteoid osteoma

Osteoid Osteoma of the Talus: Rare entity, Rare Presentation and a Novel Method of Management: A Case Report

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