Osteoid osteoma: treatment outcome and long-term follow-up after MRI-guided laser ablation

Seemann, Ricarda; Böning, Georg; Schwabe, Philipp; Teichgräber, Ulf; Gebauer, Bernhard; Streitparth, Florian

doi:10.21037/atm-21-3343

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…[ 17 ] MRI provides a better evaluation of joint structures, allowing for improved differentiation between intra- and extra-articular OO and other tumor lesions, while preserving nearby neurovascular structures related to OO. [ 18 ] However, due to the high sensitivity of MRI in detecting joint effusion, bone marrow edema, and synovitis, [ 13 ] it often tends to mask the condition and can lead to misdiagnoses such as patellar chondromalacia and peeling osteochondritis, [ 1 ] with a misdiagnosis risk as high as 35%. [ 5 ] Radionuclide bone scanning has high sensitivity in diagnosing OO, with the double-ring sign being a typical manifestation.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…Atypically located osteoid osteomas have a higher rate of recurrence and adverse events associated with surgery [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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

Napora

Wałejko

Mazurek

2023

JCM

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Osteoid osteoma (OO) is a common benign bone tumour, usually affecting young people. Typically, it is localised to the diaphyses or metaphyses of long bones. The classical manifestation includes distinctive night pain, almost always present, responding well to non-steroidal anti-inflammatory drugs, sometimes accompanied by complaints due to physical activity, and a typical picture on additional tests. A characteristic of osteoid osteoma is the presence of a nidus, usually visible on imaging tests. The nidus generally presents as a single, round lytic lesion up to 1 cm in diameter, surrounded by an area of reactive ossification. However, OO is a multifaceted neoplasm, and its diagnosis can cause numerous difficulties. OO can mimic multiple diseases and vice versa, which often leads to a prolonged diagnostic and therapeutic path and associated complications. There are few literature reviews about the differentiation and diagnostic difficulties of osteoid osteoma. Very effective therapies for this tumour are known, such as ablation and resection. Enhanced detection of osteoid osteoma could result in faster diagnosis and less suffering for the patient, avoidance of complications, and reduced costs of incorrect and prolonged treatment.

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Meta-analysis of application of minimally-invasive ablation methods and classical surgical approach in osteoid osteoma and osteoblastoma

Piwowar,

Hożejowski,

Zolbach

et al. 2024

Medical Journal of Cell Biology

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Osteoblastoma and osteoid osteoma are rare benign bone tumours, sometimes considered variations of the same pathologic process. However, they differ in location, incidence, age group, and size. The gold standard treatment is surgical excision for osteoblastoma and radiofrequency ablation for both. Minimally invasive techniques, including radiofrequency ablation, microwave ablations, cryoablation, ultrasound ablation, and laser ablation, are increasingly used. This meta-analysis aimed to review current treatments, focusing on minimally invasive methods versus traditional surgical excision. A data comparison of 17 original articles from the PubMed database (2014-2024) was conducted, examining treatment methods, patient numbers, success rates, pre/post-operative pain scores, and complication rates. New ablation methods achieve similar clinical results to traditional surgery for treating osteoid osteoma and osteoblastoma while minimizing invasiveness. Most procedures have technical success rates near 100%. Both invasive and non-invasive methods significantly reduce preoperative pain. Classical surgery has higher minor complication rates compared to minimally invasive treatments. Among ablation techniques, magnetic resonance guided focused ultrasound surgery is the least invasive, avoiding radiation and antibiotic-related complications. However, in ablation methods caution is needed to prevent thermal damage to nearby joints and nerves. Protective methods, such as skin protection, hydrodissection, gas dissection, and intraoperative neurostimulation, are recommended. New ablation methods provide less invasive alternatives to surgery, with high clinical and technical success rates and lower complication rates. Among these, magnetic resonance guided focused ultrasound surgery is the least invasive and most promising, though more clinical data is needed due to its recent development.

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Osteoid osteoma: treatment outcome and long-term follow-up after MRI-guided laser ablation

Cited by 4 publications

References 42 publications

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

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

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

Meta-analysis of application of minimally-invasive ablation methods and classical surgical approach in osteoid osteoma and osteoblastoma

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