Osteoid Osteoma of Base of Coracoid process, a Rare Location. A Case Report and Brief Review of Literature

Abstract

Osteoid Osteoma is a little uncommon bony lesion. It rarely affects the scapula. Only a few cases are found in the literature. Even rarer is its occurrence at base of coracoids process. Osteoid osteoma of the base of coracoid process is a rare location. They may present simply as diffuse shoulder pain. Careful evaluation of the patient is important to diagnose this rare lesion. Clinical history is valuable, as well as the radiological investigations. Surgical treatment is definitive and rewarding. We are presenting a case of osteoid osteoma involving the base of coracoid process in a 12 year boy which was diagnosed clinico-radiologically and treated surgically by de-roofing and curettage of the lesion. The boy got complete relief of pre-operative symptoms.

Radiofrequency ablation of osteoid osteoma at the base of the coracoid process: Report of two cases

“…24 A Technetium‐99 bone scan is also sensitive but not specific. 25 Various strategies have been employed in the treatment of OO, ranging from open surgical procedures to scarcely applied conservative management using anti‐inflammatory drugs and minimally invasive percutaneous therapies. 19 The selection of a therapeutic method is influenced by various aspects, with anatomical localization being a crucial consideration in the decision‐making process.…”

“…However, it is useful for distinguishing OO from malignant tumors and osteomyelitis 24 . A Technetium‐99 bone scan is also sensitive but not specific 25 . Various strategies have been employed in the treatment of OO, ranging from open surgical procedures to scarcely applied conservative management using anti‐inflammatory drugs and minimally invasive percutaneous therapies 19 .…”

Radiofrequency Ablation of Osteoid Osteoma at the Base of the Coracoid Process: A Rare Case Report

“…In general, MRI is considered less beneficial than a CT scan for identifying the nidus although it is useful for distinguishing OO from malignant tumors and osteomyelitis (13). A Technetium-99 bone scan is also sensitive but not specific (14). Various strategies have been employed in the treatment of OO, ranging from open surgical procedures to scarcely applied conservative management using anti-inflammatory drugs and minimally invasive percutaneous therapies (8).…”

Osteoid osteoma of the base of the coracoid process – A case report

“…[9] Therefore, management was based accordingly with attempts at analgesia [6,8,9,[11], [12], [13]], physiotherapy [9,12], intra-articular steroid injections [12], and arthroscopic exploration [5,8] without resolution of symptoms. In all cases, the initial X-ray did not reveal any abnormalities, therefore subsequent CT [[6], [7], [8], [9], [10],12,13], MRI [5,[8], [9], [10], [11], [12]], bone scan [7,8], or Technetium-99 m [10,13] were done which ultimately revealed a clear nidus confirming the diagnosis of “OO”. Most cases underwent definitive treatment via an open surgical method [6,7,[9], [10], [11],13] whilst a minority was done via an arthroscopic approach [5,8,12].…”

“…In all cases, the initial X-ray did not reveal any abnormalities, therefore subsequent CT [[6], [7], [8], [9], [10],12,13], MRI [5,[8], [9], [10], [11], [12]], bone scan [7,8], or Technetium-99 m [10,13] were done which ultimately revealed a clear nidus confirming the diagnosis of “OO”. Most cases underwent definitive treatment via an open surgical method [6,7,[9], [10], [11],13] whilst a minority was done via an arthroscopic approach [5,8,12].…”