Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature

Napora, Justyna; Wałejko, Szymon; Mazurek, Tomasz

doi:10.3390/jcm12072721

Cited by 14 publications

(4 citation statements)

References 86 publications

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“…The hip, elbow, and ankle are the usual sources of the tumor [ 7 ]. However, OO is capable of taking appearance or being covered up by various other conditions, and this may result in a prolonged diagnostic and therapeutic process, along with associated complications [ 8 ]. This case highlights a 17-year-old male with a three-month history of progressively worsening right thigh pain, ultimately diagnosed as OO.…”

Section: Discussionmentioning

confidence: 99%

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Doelakeh,

Weerarathna,

Luharia

2024

Cureus

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Osteoid osteoma (OO) is a common benign ossifying lesion that is most prevalent among youth. Usually, it attacks the diaphyseal or metaphyseal bones that are tubular. The common hallmark of muscle pain is the reported occurrence of night pain that is nearly always present, yields satisfactory responses from nonsteroidal anti-inflammatory medications, and may be joined by complaints regarding physical activities. Also, it shows typical signs of study procedures like computed tomography (CT) and magnetic resonance imaging (MRI). A nidus, which is the primary marker in the diagnostic formation of shadowed images, is a crucial sign of an OO. This source is usually portrayed as an oval lytic lesion, measuring 1 cm flat and surrounded by a region of reactive ossification. It is laborious to diagnose OO since the condition is frequently confused with many other ones, and testing and therapy may be delayed and complicated as a result. There are still few studies on OO diagnosis and distinguishing of surrogate conditions. Unfortunately, either ablation or resection can be said to be the cure. Improved detection of OO shows the possibility for prompt diagnosis, fewer patient discomfort and side effects, less cost involved in unnecessary treatments, and a rightly diagnosed condition.

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Section: Discussionmentioning

confidence: 99%

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Doelakeh,

Weerarathna,

Luharia

2024

Cureus

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“…Osteoid osteoma, a common benign neoplasm, accounting for up to 3% of primary bone tumors, generally localized at the diaphysis or metaphysis of long bones of the lower limb, most frequently affects young male individuals, aged between 5 and 25 years [71].…”

Section: Sex-and Gender-specific Physiopathology Of Orthopedic Malign...mentioning

confidence: 99%

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Biz,

Khamisy-Farah,

Puce

et al. 2024

Biomedicines

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In the biomedical field, the differentiation between sex and gender is crucial for enhancing the understanding of human health and personalizing medical treatments, particularly within the domain of orthopedics. This distinction, often overlooked or misunderstood, is vital for dissecting and treating musculoskeletal conditions effectively. This review delves into the sex- and gender-specific physiology of bones, cartilage, ligaments, and tendons, highlighting how hormonal differences impact the musculoskeletal system’s structure and function, and exploring the physiopathology of orthopedic conditions from an epidemiological, molecular, and clinical perspective, shedding light on the discrepancies in disease manifestation across sexes. Examples such as the higher rates of deformities (adolescent idiopathic and adult degenerative scoliosis and hallux valgus) in females and osteoporosis in postmenopausal women illustrate the critical role of sex and gender in orthopedic health. Additionally, the review addresses the morbidity–mortality paradox, where women, despite appearing less healthy on frailty indexes, show lower mortality rates, highlighting the complex interplay between biological and social determinants of health. Injuries and chronic orthopedic conditions such osteoarthritis exhibit gender- and sex-specific prevalence and progression patterns, necessitating a nuanced approach to treatment that considers these differences to optimize outcomes. Moreover, the review underscores the importance of recognizing the unique needs of sexual minority and gender-diverse individuals in orthopedic care, emphasizing the impact of gender-affirming hormone therapy on aspects like bone health and perioperative risks. To foster advancements in sex- and gender-specific orthopedics, we advocate for the strategic disaggregation of data by sex and gender and the inclusion of “Sexual Orientation and Gender Identity” (SOGI) data in research and clinical practice. Such measures can enrich clinical insights, ensure tailored patient care, and promote inclusivity within orthopedic treatments, ultimately enhancing the precision and effectiveness of care for diverse patient populations. Integrating sex and gender considerations into orthopedic research and practice is paramount for addressing the complex and varied needs of patients. By embracing this comprehensive approach, orthopedic medicine can move towards more personalized, effective, and inclusive treatment strategies, thereby improving patient outcomes and advancing the field.

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“…Osteoid osteoma (OO) is a common benign bone tumor in orthopedics, characterized by a central core of vascular bone-like tissue surrounded by a sclerotic bone rim, often referred to as the “nidus sign.” [ 1 ] It was first described by Bergstrand [ 2 ] in 1930 and further adopted and defined by Jaffe in 1935. [ 3 ] OO predominantly affects individuals at the age of 5 to 25 years, [ 4 ] with incidence rates of 13% in those aged > 30 years and 3% in children aged < 5 years. It exhibits a male-to-female ratio of 3:1.…”

Section: Introductionmentioning

confidence: 99%

“…It primarily occurs in long tubular bones, with the femur and tibia being the most common sites. [ 4 ] Interestingly, 60% OOs are located near the hip joint or in the femur midshaft, rather than the knee joint. [ 8 ] Consequently, reports on arthroscopic excision of OO in the posterior proximal tibia are rare.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic treatment of osteoid osteoma in the posterior proximal tibia: A case report and literature review

He,

Li,

et al. 2024

Medicine

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Background: Osteoid osteoma (OO) is a benign lesion characterized by an increased fibrous component in the bone marrow, presence of bone-like structures within the medullary cavity, and a surrounding sclerotic bone rim. Reports on OO located in the posterior proximal tibia are rare. Case summary: Herein, we report the case of an 18-year-old male, admitted for the evaluation of right knee pain. The right knee pain had started 6 months prior without any apparent cause, which was notably severe at night, affecting sleep, and was exacerbated while climbing stairs or bearing weight. The patient also experienced pain on flexion. Three-dimensional computed tomography and magnetic resonance imaging revealed a nodular lesion beneath the cortical bone of the posterior medial plateau of the right tibia and an abnormal signal focus on the posterior lateral aspect of the right tibial plateau associated with extensive bone marrow edema. A small amount of fluid was present in the right knee joint capsule. The patient subsequently underwent arthroscopic excision of the OO. Postoperatively, there was significant relief of pain, and the knee range of motion returned to normal. Conclusion: Although OO in the posterior proximal tibia is a rare occurrence, it can be effectively excised through minimally invasive arthroscopic visualization.

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Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature

Cited by 14 publications

References 86 publications

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Arthroscopic treatment of osteoid osteoma in the posterior proximal tibia: A case report and literature review

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