DOI QR코드

DOI QR Code

Arthroscopic Excision of Delayed Diagnosed Intra-articular Osteoid Osteoma of the Elbow: A Case Report

  • Park, Sam Guk (Department of Orthopedic Surgery, Yeungnam University Medical Center) ;
  • Shin, Duk Seop (Department of Orthopedic Surgery, Yeungnam University Medical Center) ;
  • Choi, Joon Hyuk (Department of Pathology, Yeungnam University Medical Center) ;
  • Na, Ho Dong (Department of Orthopedic Surgery, Yeungnam University Medical Center) ;
  • Park, Jae Woo (Department of Orthopedic Surgery, Yeungnam University Medical Center)
  • Received : 2018.03.01
  • Accepted : 2018.07.13
  • Published : 2018.09.01

Abstract

An intra-articular osteoid osteoma is a very rare cause of elbow pain, and its diagnosis and treatment remain challenging. Delayed diagnosis may lead to arthritic change of the joint. In this study, the authors present the occurrence of intra-articular osteoid osteoma in the right elbow of a 15-year-old male patient who presented with prolonged pain and limited motion owing to delayed diagnosis. After confirming the nidus of osteoid osteoma from radiographic evaluation, the lesion was completely removed arthroscopically. The patient presented a complete relief of symptoms and full range of motion. This is the first domestic report of successful arthroscopic treatment of an intra-articular osteoid osteoma of the elbow.

Keywords

References

  1. Szendroi M, Kollo K, Antal I, Lakatos J, Szoke G. Intraarticular osteoid osteoma: clinical features, imaging results, and comparison with extraarticular localization. J Rheumatol. 2004;31(5):957-64.
  2. Cotta AC, de Melo RT, de Castro RCR, et al. Diagnostic difficulties in osteoid osteoma of the elbow: clinical, radiological and histopathological study. Radiol Bras. 2012;45(1):13-9. https://doi.org/10.1590/S0100-39842012000100005
  3. Franceschi F, Marinozzi A, Papalia R, Longo UG, Gualdi G, Denaro E. Intra- and juxta-articular osteoid osteoma: a diagnostic challenge: misdiagnosis and successful treatment: a report of four cases. Arch Orthop Trauma Surg. 2006;126(10):660-7. https://doi.org/10.1007/s00402-006-0203-9
  4. Weber KL, Morrey BF. Osteoid osteoma of the elbow: a diagnostic challenge. J Bone Joint Surg Am. 1999;81(8):1111-9. https://doi.org/10.2106/00004623-199908000-00006
  5. Font Segura J, Barrera-Ochoa S, Gargallo-Margarit A, Correa-Vazquez E, Isart-Torruella A, Mir Bullo X. Osteoid osteoma of the distal humerus mimicking sequela of pediatric supracondylar fracture: arthroscopic resection-case report and a literature review. Case Rep Med. 2013. doi: 10.1155/2013/247328.
  6. Contreras A, Isasi C, Silveira J, Barbadillo C, Mulero J, Andreu JL. Intra-articular osteoid osteoma at the elbow: report of a case and review of the literature. J Clin Rheumatol. 2000;6(4):218-20. https://doi.org/10.1097/00124743-200008000-00010
  7. Corbett JM, Wilde AH, McCormack LJ, Evarts CM. Intra-articular osteoid osteoma; a diagnostic problem. Clin Orthop Relat Res. 1974;(98):225-30.
  8. Sherman MS. Osteoid osteoma associated with changes in adjacent joint; report of two cases. J Bone Joint Surg Am. 1947;29(2):483-90.
  9. Marcove RC, Freiberger RH. Osteoid osteoma of the elbow: a diagnostic problem. Report of four cases. J Bone Joint Surg Am. 1966;48(6):1185-90. https://doi.org/10.2106/00004623-196648060-00017
  10. Kamrani RS, Moradi A, Sharafat Vaziri A, Nabian MH, Ghane B. Arthroscopic ablation of an osteoid osteoma of the elbow: a case series with a minimum of 18 months' follow-up. J Shoulder Elbow Surg. 2017;26(5):e122-7. https://doi.org/10.1016/j.jse.2017.01.010