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Archives of Orthopaedic and Trauma... Aug 2023Osteoid osteoma (OO) is a common benign bone tumor. OO is observed most frequently in the long bones, especially in the tibia and femur. When occurring in the bones of...
INTRODUCTION
Osteoid osteoma (OO) is a common benign bone tumor. OO is observed most frequently in the long bones, especially in the tibia and femur. When occurring in the bones of the hand, OO can be a diagnostic and therapeutic challenge. The aim of this study was to provide a systematic review of occurrence, symptoms, diagnosis and treatment options regarding OO in hand bones.
MATERIALS AND METHODS
We performed a systematic review of the literature. All studies from the online databases PubMed and SpringerLink, which reported cases of osteoid osteomas in the bones of the hand, were included. By summarizing the literature, we evaluated the localization within the hand as well as diagnostic and therapeutic options.
RESULTS
We included 133 studies reporting 401 cases. OO was mostly common in the phalanges. The diagnosis was mostly made by CT (computed tomography) scan. Most of the OO were treated surgically by open curettage or en bloc resection.
CONCLUSIONS
Osteoid osteomas in the bones of the hand are rare and a delayed diagnosis is common. In cases of pain combined with particular symptoms such as nail hypertrophy and swelling OO should be considered. Of the most used imaging methods, CT scans have the highest sensitivity.
Topics: Humans; Osteoma, Osteoid; Hand; Pain; Finger Phalanges; Bone Neoplasms
PubMed: 36939892
DOI: 10.1007/s00402-023-04839-5 -
Global Spine Journal Mar 2023Retrospective cohort study.
A Comparison of Magnetic Resonance Imaging and SPECT-CT Imaging in Complex Spine Pathology: Does SPECT-CT Provide Additional Diagnostic Information Over Magnetic Resonance Imaging?
STUDY DESIGN
Retrospective cohort study.
OBJECTIVE
Magnetic Resonance Imaging (MRI) is often regarded as the gold standard for spinal pathology, as it provides good structural visualisation. SPECT-CT, however, provides combined structural and functional information. There is a paucity of literature comparing SPECT-CT with MRI in the spine. Our aim was to determine whether SPECT-CT provides additional information to MRI in individuals with complex spinal pathology, including deformity, which altered management.
METHODS
We conducted a retrospective review of all individuals seen at our tertiary spinal unit that were investigated with both MRI and SPECT-CT of the spine between 2007-2020. We reviewed imaging reports, and collated diagnoses, surgical treatment and the relative contributions of MRI and SPECT-CT to management decisions.
RESULTS
104 individuals identified, with a mean age of 30 years (89 females and 15 males). Diagnostic categories were adolescent, adult, and congenital deformity, degenerative pathology, and miscellaneous pathology. MRI returned positive findings in 58 (55.8%), and SPECT-CT in 41 (39.4%) cases. SPECT-CT identified 10 cases of facet joint degeneration, 5 of increased uptake around metalwork suggestive of loosening, 1 pseudoarthrosis, 1 partial failure of fusion and 1 osteoid osteoma which were not reported on MRI, all in individuals who had previously undergone spinal instrumentation. Despite this, SPECT-CT only altered management for 6 individuals (5.8%).
CONCLUSIONS
MRI is less useful in the setting of previous instrumentation due to metal artefact. Where MRI is inconclusive, particularly in individuals with previous spinal instrumentation, SPECT-CT may provide a diagnosis, but is not recommended as primary imaging.
PubMed: 36939636
DOI: 10.1177/21925682231163812 -
Journal of Clinical Orthopaedics and... Feb 2023
PubMed: 36879989
DOI: 10.1016/j.jcot.2023.102108 -
Journal of the American Academy of... Mar 2023Osteoid osteoma (OO) is a benign osteoblastic bone tumor typically involving the diaphysis or metaphysis in long tubular bones. OO in phalanges of the great toe has been...
Osteoid osteoma (OO) is a benign osteoblastic bone tumor typically involving the diaphysis or metaphysis in long tubular bones. OO in phalanges of the great toe has been rarely reported, and it is often challenging to differentiate with subacute osteomyelitis, bone abscess, or osteoblastoma. This case report describes an uncommon case of a 13-year-old female patient with subperiosteal OO in the proximal phalanx of the great toe. The atypical location of OO should be familiarized to include appropriate differential diagnosis and to ensure accurate diagnosis by radiologic evaluations. Surgical excision remains the benchmark for the treatment of OO with its advantages on direct visualization and histologic confirmation for the diagnosis.
Topics: Female; Humans; Adolescent; Osteoma, Osteoid; Hallux; Diaphyses; Finger Phalanges; Osteomyelitis; Soft Tissue Neoplasms; Bone Neoplasms
PubMed: 36877665
DOI: 10.5435/JAAOSGlobal-D-21-00223 -
Journal of Orthopaedic Case Reports Oct 2022Osteoid osteoma is a common benign bone tumor affecting young adults with the typical clinical and radiological presentation when arising from common locations. However,...
INTRODUCTION
Osteoid osteoma is a common benign bone tumor affecting young adults with the typical clinical and radiological presentation when arising from common locations. However, when they arise from unusual locations like intra-articular regions the diagnosis may be confusing thereby leading to delay in diagnosis and appropriate management. Here we present a case with an intra-articular osteoid osteoma of the hip involving the anterolateral quadrant of the femoral head.
CASE REPORT
An active 24-year-old man, with no relevant or significant medical history presented with progressive left hip pain radiating to the thigh for the past 1 year. There was no significant history of trauma. His initial symptoms were dull aching groin pain which worsened over weeks, associated with night cries, and loss of weight and appetite.
CONCLUSION
The unusual site of presentation led to a diagnostic challenge and caused a delay in diagnosis. Computed tomography scan is the gold standard to detect osteoid osteoma and radiofrequency ablation can be used as a reliable and safe modality of the treatment for intra-articular lesions.
PubMed: 36874886
DOI: 10.13107/jocr.2022.v12.i10.3348 -
Journal of Orthopaedic Case Reports Sep 2022Although osteoid osteomas are relatively common lesion, sites such as distal phalanx are still rarely observed. These lesions present with characteristic nocturnal pain...
INTRODUCTION
Although osteoid osteomas are relatively common lesion, sites such as distal phalanx are still rarely observed. These lesions present with characteristic nocturnal pain due to prostaglandins and may also be associated with clubbing. Diagnosis of these lesions at uncommon sites becomes tricky and 85% are misdiagnosed.
CASE REPORT
A 18-year-old patient presented with the left distal phalanx of little finger clubbing and nocturnal pain (visual analogue scale [VAS] score: 8). After clinical workup and investigation to rule out infective and other causes, the patient was posted for excision of the lesion with curettage. Post-surgery outcome showed reduced pain (2 months post-operative VAS score: 1) and good clinical results.
CONCLUSION
Although osteoid osteoma of distal phalanx is a rare entity and difficult to diagnosed. Complete excision of lesion shows promising results both in terms of reduction of pain and functionally.
PubMed: 36873331
DOI: 10.13107/jocr.2022.v12.i09.3330 -
Acta Medica Okayama Feb 2023Osteoid osteoma (OO) is a benign bone tumor that presents with nocturnal pain. Computed tomography (CT)- guided radiofrequency ablation (RFA) has been widely performed...
Osteoid osteoma (OO) is a benign bone tumor that presents with nocturnal pain. Computed tomography (CT)- guided radiofrequency ablation (RFA) has been widely performed for OO, and major adverse events post-RFA are rare. We report a case of OO in the left navicular bone of a 15-year-old male. He underwent RFA for OO, and the pain improved temporarily. At the 1-month follow-up, the patient complained of left foot pain, and a CT examination revealed a fracture of the ablated navicular bone. Fractures are rare but must be taken into account after bone RFA.
Topics: Male; Humans; Adolescent; Osteoma, Osteoid; Pain; Fractures, Bone; Ankle Injuries; Knee Injuries; Radiofrequency Ablation; Bone Neoplasms
PubMed: 36849150
DOI: 10.18926/AMO/64366 -
International Journal of Surgery Case... Feb 2023Osteoid osteomas (OO) are benign bone tumors that are prevalent in young adults. The typical clinical picture of the disease is pain that worsens at night, which may be...
Osteoid osteomas (OO) are benign bone tumors that are prevalent in young adults. The typical clinical picture of the disease is pain that worsens at night, which may be alleviated by Non-Steroidal Anti Inflammatory Drugs (NSAIDs). The most common imaging finding of OO is a lytic lesion, known as a nidus, with variable intralesional mineralization, accompanied by bone sclerosis, cortical thickening and surrounding bone marrow edema, as well as marked post-contrast enhancement. The most commonly affected sites are the long bones of the lower limbs, but the ribs are rarely reported sites. The present study describes a case of osteoid osteomas located in the rib which was removed by rib resection using CT-scan guidance.
PubMed: 36706671
DOI: 10.1016/j.ijscr.2023.107877 -
Journal of Orthopaedic Case Reports Aug 2022Talus osteoid osteomas are often overlooked. This pathology, which can cause chronic ankle pain, should be kept in mind when evaluating differential diagnoses.
BACKGROUND
Talus osteoid osteomas are often overlooked. This pathology, which can cause chronic ankle pain, should be kept in mind when evaluating differential diagnoses.
CASE REPORT
A 21-year-old female applied to our clinic with chronic ankle pain diagnosed as talus OCD. The patient's pain was refractory to non-operative treatments. The detection of talar osteoid osteoma is delayed due to atypical radiologic findings and coexistent osteochondral lesion of talus. The patient is treated with ankle arthroscopy with excellent results.
CONCLUSION
Chronic ankle pain causes severe functional limitations. Dealing with such cases especially in the young population, one should consider that atypical radiologic signs could have further meaning. When radiology fails to describe the lesion, ankle arthroscopy could be a good option, both for diagnosis and treatment.
PubMed: 36687487
DOI: 10.13107/jocr.2022.v12.i08.2958 -
Frontiers in Surgery 2022Osteoblastoma is quite rare in the oromaxillo-facial region, while the mandible is always the predilection. However, in our case, the lesion was located in the left...
BACKGROUND
Osteoblastoma is quite rare in the oromaxillo-facial region, while the mandible is always the predilection. However, in our case, the lesion was located in the left temporal articular tubercle, involving the adjacent skull base, which is extremely rare in the literature.
CASE REPORTS
It had been diagnosed as the most common temporomandibular joint disorder in the local hospital before the patient came to our department, mainly due to the primary symptom, that was, the patient got pain in the left temporomandibular joint area while opening the mouth. However, we found a mass of bone lesions at the left temporal articular tubercle in MRI and cone beam CT, and it turned out to be an osteoblastoma after surgery. The patient's primary symptom disappeared after recovering from the surgery, and there have been no indications of complication or recurrence up to now.
CONCLUSION
Osteoblastoma is very rare in the temporomandibular joint region. It could easily miss the possibility of a benign tumor due to its unusual location and confusing chief complaint in this case. Our report provides experience in the identification of osteoblastoma in rare sites.
PubMed: 36684216
DOI: 10.3389/fsurg.2022.1033342