Abstract
We present a case of a 53-year-old woman with recurrent intra-articular osteoid osteoma of the hip 6 months after initial treatment with percutaneous radiofrequency ablation. En bloc surgical excision of the osteoid osteoma and prophylactic internal fixation for impending stress fracture was performed. The patient is pain free, has returned to normal function and there is no sign of recurrence at the one-year follow-up. Intraarticular osteoid osteoma, present a diagnostic challenge and often they are misdiagnosed. Minimally invasive ablation techniques can fail in significant percentage and then surgical excision with histological confirmation remains the definitive treatment of choice.
Highlights
Osteoid osteoma (OO) is a relatively common skeletal lesion that accounts for approximately 12% of benign skeletal neoplasms
We present a case of a 53-year-old woman with recurrent intra-articular osteoid osteoma of the hip 6 months after initial treatment with percutaneous radiofrequency ablation
Invasive ablation techniques can fail in significant percentage and surgical excision with histological confirmation remains the definitive treatment of choice
Summary
Osteoid osteoma (OO) is a relatively common skeletal lesion that accounts for approximately 12% of benign skeletal neoplasms. Case presentation A 53-year-old Greek woman, referred to our clinic in September 2006, six months after her initial treatment with percutaneous radiofrequency ablation for IAOO of the right hip joint, reporting recurrent symptoms. She had no relevant or significant medical history, and she reported right groin pain radiating to the thigh for the past 4 years. The patient referred to our clinic, 6 months after radiofrequency ablation, reporting recurrent symptoms similar to those experienced at the initial clinical presentation. Computed tomography and magnetic resonance imaging of the right hip joint revealed a lesion at the posterior cortex of the femoral neck, which was attributed to the previous radiofrequency ablation. At the one–year follow–up there were no residual or recurrent symptoms at the clinical or radiological findings (Figure 4)
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
