Osteoid osteoma: A masquerader of persistent knee pain in the setting of prior lateral tibial plateau cement subchondroplasty

Q4 Medicine Radiology Case Reports Pub Date : 2024-11-28 DOI:10.1016/j.radcr.2024.10.148
Michael Doran MD , John Grant MD, PhD , Samer Soussahn MD
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引用次数: 0

Abstract

Osteoid Osteoma (OO) is a common primary bone tumor that often presents with night pain in younger orthopedic patients. Although typically extra-articular, intra-articular presentations may be difficult to diagnose. While magnetic resonance imaging (MRI) provides excellent detailed imaging of the articular surface, it has been reported to lead to occasional misdiagnosis given limitations in spatial resolution, particularly for smaller lesions. Computed tomography (CT) remains the gold standard imaging modality for OO. The treatment for osteoid osteoma consists of medical management, minimally invasive image guided techniques, and surgical resection in order of most conservative to most aggressive. We present the case of a 31-year-old male with persistent posterolateral knee pain after subchondroplasty. CT demonstrated an OO in the posterior tibial plateau. The patient was successfully treated with CT-guided percutaneous radiofrequency ablation with complete resolution of symptoms. We also provide a brief literature review of the diagnosis and treatment of OO to help heighten the awareness of this sometimes inconspicuous diagnosis.
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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