Treatment of osteoid osteoma of the elbow by radiofrequency thermal ablation

Albisinni, Ugo; Bazzocchi, Alberto; Bettelli, G.; Facchini, Giancarlo; Castiello, Emanuela; Cavaciocchi, Michele; Battista, Giuseppe; Rotini, Roberto

doi:10.1016/j.jse.2013.08.011

Cited by 32 publications

(36 citation statements)

References 36 publications

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“…Minimally invasive percutaneous treatments with imaging guidance represent a feasible alternative to surgery; options include trephine excision, cryoablation, radiofrequency ablation (RFA), and laser thermocoagulation (6)(7)(8)(9). These percutaneous methods are less invasive than surgery, require minimal postinterventional observation, can be used to treat disease in high-risk locations such as intra-articular and spinal areas, and cost less (10)(11)(12).…”

Section: Study Design and Patient Enrollmentmentioning

confidence: 99%

Noninvasive Therapy for Osteoid Osteoma: A Prospective Developmental Study with MR Imaging–guided High-Intensity Focused Ultrasound

et al. 2017

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Purpose To demonstrate that magnetic resonance (MR) imaging-guided high-intensity focused ultrasound (HIFU) is a safe, effective, and durable treatment option for the management of osteoid osteoma in children and young adults. Materials and Methods This prospective study was institutional review board approved and is registered with clinicaltrials.gov (identification number NCT02302651). Written informed consent was obtained from patients or their parents. Patients who had both clinical and radiologic findings that were diagnostic for nonvertebral osteoid osteoma and no contraindications to MR imaging-guided HIFU were enrolled between June 2010 and June 2013. The feasibility, safety, and clinical effectiveness of MR imaging-guided HIFU were considered primary outcomes; tumor control at imaging was considered a secondary outcome. Analyses were conducted on a per-protocol basis. Results Forty-five of the 50 recruited patients underwent MR imaging-guided HIFU. All patients were discharged without treatment-related complications. The median visual analog scale (VAS) pain score (scale, 0-10) decreased from 8 before treatment to 0 at 1-week and 1- , 6- , 12- , 24- , and 36-month follow-up. Similarly, median VAS scores for the degree to which pain interfered with sleep and physical and daily activities decreased to 0 within the 1st month after treatment and remained stable at subsequent follow-up. Overall, 39 (87%) of the 45 patients achieved and maintained a VAS score of 0 during the 3-year observation period. Quality of life, as assessed by using Functional Assessment of Cancer Therapy-Bone Pain (FACT-BP) scores (scale, 0-60 points), improved, with the median FACT-BP score of 28 (points) before treatment increasing to a median score of 55 at 1-week follow-up and 60 at 6-month and subsequent follow-ups. At (final) 36-month follow-up, MR imaging depicted an absence of residual nidus vascularity in 32 (76%) of the 42 patients who were treated with MR imaging-guided HIFU only. Conclusion The durable clinical efficacy and safety of MR imaging-guided HIFU were demonstrated. These features are evidence of the potential of MR imaging-guided HIFU to be part of a routine strategy for the treatment of osteoid osteoma. RSNA, 2017.

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Section: Study Design and Patient Enrollmentmentioning

confidence: 99%

Noninvasive Therapy for Osteoid Osteoma: A Prospective Developmental Study with MR Imaging–guided High-Intensity Focused Ultrasound

et al. 2017

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“…In addition, RFA proves to be a better tool in treating symptomatic recurrences after surgical resections (100% vs 90%). 30 Several authors have published articles [29][30][31][32][33][34][35][36][37][38] reporting a significant therapeutic success, confirming the effectiveness of RFA also in the long-term and on large series, showing that RFA is a safe method for treating OO with a low number of complications. Flanagin and Lindskog, 39 in their study, referred an efficacy of this technique equals 92.8%, in agreement with the previous data reported in literature.…”

Section: Osteoid Osteomamentioning

confidence: 80%

“…40 The right choice of the electrodes to be used during the procedure is essential. Most of the studies 29,30,32,37,40 report the use of a single standard electrode, without internal cooling devices, with an active exposed tip of 5-10 mm. Taking into consideration that the tissue damage caused by RFA extends a few millimetres beyond the tip of the probe, a sufficient distance from the vital structures should be ensured; the standard safety distance is at least 1 cm.…”

Section: Osteoid Osteomamentioning

confidence: 99%

Paediatric musculoskeletal interventional radiology

Natali¹,

Paolantonio²,

Fruhwirth³

et al. 2016

BJR

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Interventional radiology technique is now well established and widely used in the adult population. Through minimally invasive procedures, it increasingly replaces surgical interventions that involve higher percentages of invasiveness and, consequently, of morbidity and mortality. For these advantageous reasons, interventional radiology in recent years has spread to the paediatric age as well. The aim of this study was to review the literature on the development, use and perspectives of these procedures in the paediatric musculoskeletal field. Several topics are covered: osteomuscle neoplastic malignant and benign pathologies treated with invasive diagnostic and/or therapeutic procedures such as radiofrequency ablation in the osteoid osteoma; invasive and non-invasive procedures in vascular malformations; treatment of aneurysmal bone cysts; and role of interventional radiology in paediatric inflammatory and rheumatic inflammations. The positive results that have been generated with interventional radiology procedures in the paediatric field highly encourage both the development of new ad hoc materials, obviously adapted to young patients, as well as the improvement of such techniques, in consideration of the fact that childrens' pathologies do not always correspond to those of adults. In conclusion, as these interventional procedures have proven to be less invasive, with lower morbidity and mortality rates as well, they are becoming a viable and valid alternative to surgery in the paediatric population. MUSCULOSKELETAL MALIGNANT TUMOURSOsteosarcoma, Ewing sarcoma and rhabdomyosarcoma are the most common musculoskeletal tumours of childhood and adolescence.

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“…A careful analysis of disease history and physical examination is required to include osteoid osteoma in the diagnosis of persistent tennis elbow (3). In this case, wide excision or CT-guided radiofrequency ablation can result in predictable and rapid pain relief.…”

Section: Discussionmentioning

confidence: 99%

Sub Cortical Osteoid Osteoma of the Capitulum: A Case Report

et al. 2017

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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.

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Treatment of osteoid osteoma of the elbow by radiofrequency thermal ablation

Cited by 32 publications

References 36 publications

Noninvasive Therapy for Osteoid Osteoma: A Prospective Developmental Study with MR Imaging–guided High-Intensity Focused Ultrasound

Noninvasive Therapy for Osteoid Osteoma: A Prospective Developmental Study with MR Imaging–guided High-Intensity Focused Ultrasound

Paediatric musculoskeletal interventional radiology

Sub Cortical Osteoid Osteoma of the Capitulum: A Case Report

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