Dificuldades diagnósticas no osteoma osteoide do cotovelo: estudo clínico, radiológico e histopatológico

Cotta, Ana; Melo, Rogério Teles de; Castro, Renato Cesar Rezende de; Souza, Francineide Sadala de; Najjar, Yana Senna Jeronymo; Paim, Júlia Filardi de Oliveira; Kalil, Ricardo K.

doi:10.1590/s0100-39842012000100005

Cited by 10 publications

(5 citation statements)

References 14 publications

(16 reference statements)

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“…The average found was 21 months between the onset of symptoms and the definitive diagnosis. 8 The patient in the reported case had a similar clinical picture, with a previous diagnosis of synovitis only, with pain for a period of 24 months until the definitive diagnosis. The lack of knowledge about the details involved in the diagnosis of a not so common presentation can lead to a delay of almost two years in the resolution of cases.…”

Section: Discussionmentioning

confidence: 58%

Uncommon Presentation of Osteoid Osteoma in the Elbow: Case Report

Costa,

Alves,

Rodrigues

et al. 2023

JHS

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Osteoid osteoma is the third most common benign bone neoplasm. The femur and tibia are the most affected sites. In this case, unusually, we report its occurrence in the elbow with intra-articular presentation, which many times, as in this patient, can delay the definitive diagnosis. Open surgery, available at the case service, was chosen as the treatment and used for complete removal of the tumor, which had histopathological analysis confirmed for the diagnosis of osteoid osteoma.

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Section: Discussionmentioning

confidence: 58%

Uncommon Presentation of Osteoid Osteoma in the Elbow: Case Report

Costa,

Alves,

Rodrigues

et al. 2023

JHS

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“…CT is the method of choice to characterize bone changes and may differentiate between osteoid osteoma and chronic osteomyelitis. The role of MRI is controversial because of the variable appearance of the lesion and the reactive changes in the bone marrow and soft tissues [1].…”

Section: Commentmentioning

confidence: 99%

Intra-Articular Osteoid Osteoma: Radiological Manifestations

Chatt

Docquier

Dumitriu

2020

Journal of the Belgian Society of Radiology

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A 9-year-old boy presented to the rheumatology consultation with left elbow pain for the prior three months. The pain was associated with swelling, stiffness, and limitation of movement suggestive of inflammation. The blood work was normal. Mono-articular juvenile idiopathic arthritis (JIA) was suspected, and the patient was referred for left elbow ultrasound, which confirmed synovial thickening (arrow on Figure 1A). Treatment with nonsteroidal anti-inflammatory drugs was started, and three weeks later an intra-articular infiltration with cortico-steroids was carried out. Three months later, as the symptoms persisted, a new ultrasound of the elbow was performed, demonstrating joint effusion (asterisk on Figure 1B); elbow radiograph on the same day showed metaphyseal sclerosis (blue asterisk on Figure 2A), peri-articular osteopenia (green asterisk on Figure 2A) and periosteal apposition (arrows

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“…Usually OO are small in size between <1.5 and 2 cm and they appear within cortex of the long bones of lower limbs [ 4 ]. Typical clinical presentations of OO are pain that it worsens at night and it is improved by NSAIDS and use of aspirin, but when the OO is inside the joint, it is accompanied with synovitis, limited range of motion, joint effusion, and contractures [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Olecranon fossa osteoid osteoma excision through arthroscopy: surgical technique

Grezda,

Lama,

Kusari

et al. 2024

Journal of Surgical Case Reports

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In the elbow joint, occurrences of intra-articular osteoid osteoma are uncommon. We detail the case of a 21-year-old male who experienced pain, inflammation, and a restricted ability to move his elbow. For a few months, the diagnoses was missed and the patient was treated for idiopathic synovitis. After a contrast MRI, the tumor was revealed. During an arthroscopic examination of the elbow, a distinct red lesion was observed after the removal of the pale reactive bone in the olecranon cavity. This was subsequently removed in its entirety with the aid of a specialized bone tool. Histopathology confirmed the diagnosis of osteoid osteoma. Remarkably, the individual reported alleviation from the symptoms just a day following the operation and regained full range of motion 5 weeks after the surgery. This case underscores the efficacy of arthroscopy in addressing intra-articular osteoid osteoma, with a focus on accurately pinpointing the lesion.

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Dificuldades diagnósticas no osteoma osteoide do cotovelo: estudo clínico, radiológico e histopatológico

Cited by 10 publications

References 14 publications

Uncommon Presentation of Osteoid Osteoma in the Elbow: Case Report

Uncommon Presentation of Osteoid Osteoma in the Elbow: Case Report

Intra-Articular Osteoid Osteoma: Radiological Manifestations

Olecranon fossa osteoid osteoma excision through arthroscopy: surgical technique

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