The safety and the efficacy of computed tomography guided percutaneous radiofrequency ablation of osteoid osteoma

Şahin, Cennet; Öç, Yunus; Ediz, Naim; Altınay, Mustafa; Bayrak, Aylin Hasanefendioğlu

doi:10.1016/j.aott.2019.06.001

Cited by 10 publications

(11 citation statements)

References 26 publications

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“…CT and MR imaging findings of a total of 152 patients (107 male and 45 female patients; mean age 17.9 years; age range 1-42 years; 66.4 % paediatric; 20% of all were in the first decade of life) with the diagnosis of OO were evaluated retrospectively. The median volume of the lesions was 189 mm 3 (min: 22 mm 3 [7 × 3 × 2 mm]; max: 1287 mm 3 [15 × 15 × 11 mm]). Mean time to hospital admission was 13 months.…”

Section: Resultsmentioning

confidence: 99%

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Secondary radiological findings of osteoid osteoma as muscular atrophy and synovitis in paediatric and adult patients

Şahin¹

2020

Pol J Radiol

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Purpose: Diagnosis of osteoid osteoma may be delayed if secondary radiological findings such as muscle atrophy, oedema in peripheric soft tissue and bone marrow, joint effusion, or synovitis are more severe than the lesion itself. In this article, the purpose was to demonstrate secondary radiological findings of osteoid osteoma in both paediatric and adult patients. This study is one of the very few with such a large case series. Material and methods: Radiological images of 152 patients were reviewed retrospectively. Peri-nidus sclerosis, periosteal reactive bone formation, bone marrow and soft tissue oedema, presence of synovial effusion, muscular atrophy in the affected extremity, osteopaenia, and posture deterioration were noted. Results: Most of the lesions (87.5%) were localised in lower extremity bones. Among all the patients, 56% had extraarticular (65% in paediatric patients) and 44% had intraarticular (69% in paediatric patients) osteoid-osteoma. In 44% of the patients, synovial effusion was presented. In 89.4% of these, osteoid osteoma was localised in the joint. Of the 97 patients who had osteoid osteoma in lower extremities or pelvic bones, 73% had muscular atrophy. In 6% of them muscular atrophy was severe, and they had posture-gait disorder with accompanying osteopaenia. In 48% of the patients, there was reactive periosteal bone formation around the nidus. Conclusions: Secondary radiological findings, such as muscular atrophy, synovitis, posture-gait deterioration, and reactive bone formation in a patient with continuous pain that is relieved by anti-inflammatory drugs may point to an osteoid osteoma.

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Section: Resultsmentioning

confidence: 99%

“…Osteoid osteoma (OO) is a benign osteogenic tumour that commonly affects male gender in second decade of life [1][2][3][4]. Diagnosis is based on characteristic clinical and radiological findings.…”

Section: Introductionmentioning

confidence: 99%

Secondary radiological findings of osteoid osteoma as muscular atrophy and synovitis in paediatric and adult patients

Şahin¹

2020

Pol J Radiol

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“…Eberhardt et al [ 37 ] also reported 3 cases of OO of the acetabulum treated by hip arthroscopy. We found descriptions of several cases using arthroscopic excision and one case using arthroscopy-assisted radiofrequency ablation for the treatment of the OO of the acetabulum [ 1 , 5 , 9 , 10 , 12 , 17 , 20 , 21 , 23 , 37 ]; however, data on patients treated using by hip arthroscopy alone were scare.…”

Section: Discussionmentioning

confidence: 99%

“…OO of the acetabulum is even more rare. In recent literature, we found several case reports on treatment for OO of the acetabulum [ 1 , 5 , 9 – 23 ]. Minimally invasive percutaneous techniques, including CT-guided approaches and ablation using radiofrequency or lasers, as well as arthroscopic excision techniques for OO in acetabulum, have been described.…”

Section: Introductionmentioning

confidence: 99%

Hip arthroscopy has good clinical outcomes in the treatment of osteoid osteoma of the acetabulum

Gao

Liu

et al. 2021

BMC Musculoskelet Disord

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Background Osteoid osteoma (OO) of the acetabulum is a relatively rare disease. However, the the clinical outcomes of hip arthroscopy for treatment of OO of the acetabulum are still uncertain. Methods We evaluated consecutive patients who were diagnosed with OO of the acetabulum and who underwent hip arthroscopy at our hospital between January 2013 and March 2020. All patients underwent a preoperative physical examination. Preoperative supine anteroposterior hip radiography, cross-table lateral radiographs, computed tomography (CT), and magnetic resonance imaging were performed in all patients. The alpha angle and lateral center-edge angle were measured before surgery. Supine anteroposterior hip radiography and CT were performed in all patients postoperatively. Preoperative patient-reported outcomes (PROs), including Visual Analog Scale (VAS), the International Hip Outcome Tool-12 (iHOT-12) and modified Harris Hip Score (mHHS), and PROs at final follow-up were evaluated. Results A total of 6 patients (mean age, 18.7 years; age range, 6–31 years; 5 males and 1 females) were included in this study. The average follow-up period after surgery was 28.3 months (range, 6–90 months). Before surgery, the mean mHHS was 45.2 ± 10.5 (range, 33–56), the mean iHOT-12 was 33.3 ± 14.5 (range, 13–49), and mean VAS was 8.2 ± 1.0 (range, 7–9). At one month after surgery, mean mHHS was 78.7 ± 1.9 (range, 77–81), iHOT-12 was 71.0 ± 4.5 (range, 68–80), and mean VAS was 0. At the final post-operative follow-up, mean mHHS was 89.2 ± 2.1 (range, 86–91), iHOT-12 was 93.5 ± 5.0 (range, 88–98), and mean VAS was 0. All results, except VAS between one month after surgery and at final follow-up, demonstrated statistically significant improvement (P < 0.05). One patient underwent revision surgery. Conclusions Hip arthroscopy has good clinical outcomes in the treatment of OO of the acetabulum. Further study on the mechanism of secondary femoroacetabular impingement (FAI) caused by OO of the acetabulum is needed. More cases of arthroscopic excision and longer follow-up are also needed to better prove the clinical outcomes of hip arthroscopy for OO of the acetabulum.

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“…Moreover, six patients suffered operative complications (7.9%), including three cases of skin numbness, one case of puncture site infection, one case of radial nerve injury and two-stage skin burn, and one case of three-stage skin burn 13,14,[23][24][25][26] . More patients with osteoid osteoma in extremities have been treated by percutaneous radiofrequency ablation 27,28 . The new view is that microwave ablation of osteoid osteoma provides fast heating and short ablation time, avoids skin burns caused by electrode pieces, and is not affected by pacemakers, among other factors.…”

Section: Recommendation 1: Percutaneous Microwave Ablation Of Osteoidmentioning

confidence: 99%

Clinical Guideline for Microwave Ablation of Bone Tumors in Extremities

Zheng¹,

Yu²,

et al. 2020

Orthopaedic Surgery

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Microwave ablation has been used to treat bone tumors in extremities for more than 30 years. With improved recognition, updated microwave equipment, and expanded clinical application, microwave ablation has recently been widely used to treat bone tumors. To standardize the application of microwave ablation in the clinical treatment of bone tumors in the limbs, research results and clinical experience involving the use of microwave ablation to treat bone tumors in the limbs have been summarized, and a clinical guideline has been designed. This guideline is aimed at providing a reliable clinical basis for indications, preoperative evaluation and decision‐making, perioperative treatment, complications, and other issues via evidence‐based medicine. Two aspects are considered—percutaneous microwave ablation and intraoperative microwave ablation of bone tumors in extremities. Ultimately, the guideline is intended to standardize treatment and improve the clinical efficacy of microwave ablation of bone tumors in extremities.

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The safety and the efficacy of computed tomography guided percutaneous radiofrequency ablation of osteoid osteoma

Abstract: Executive Office:Şehremini Mah., Koyuncu Sk., Ciğdem Apt., No: 4, D 5, Fatih, İstanbul, Turkey Phone : +90 212 -530 15 08/21 Fax : +90 212 -530 15 21

Cited by 10 publications

References 26 publications

Secondary radiological findings of osteoid osteoma as muscular atrophy and synovitis in paediatric and adult patients

Secondary radiological findings of osteoid osteoma as muscular atrophy and synovitis in paediatric and adult patients

Hip arthroscopy has good clinical outcomes in the treatment of osteoid osteoma of the acetabulum

Clinical Guideline for Microwave Ablation of Bone Tumors in Extremities

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