Radiofrequency Ablation in Osteoid Osteoma of the Finger

Magnetic Resonance Imaging Diagnosis and Computed Tomography-Guided Radiofrequency Ablation of Osteoid Osteoma

“…For radiofrequency ablation, fluoroscopic, or, more commonly, CT guidance, is used to guide an RF probe into the central nidus of the osteoid osteoma, which is then heated to approximately 90-C [11]. This procedure can be applied to osteoid osteomas throughout the musculoskeletal system, including the extremities as well as the axial skeleton [13,14]. The procedure, on the whole, has demonstrated a high success rate, with some authors finding that larger lesions and lesions in a nondiaphyseal location in the long bones may have a higher recurrence rate [15,16].…”

Osteoid Osteoma of the Thumb: A Case Report

“…In addition, patients may develop joint stiffness secondary to capsular damage [4]. While one case report described a favorable outcome in a patient with osteoid osteoma of the proximal phalanx treated with RFA [15], further studies are necessary to verify its safety, and with the current technology, it is not appropriate for distal phalangeal lesions. Zouari et al reported the results of CT-guided percutaneous laser photocoagulation in 15 patients with osteoid osteomas of the hands and feet.…”

Osteoid Osteoma in Fourth Finger

“…A reactive synovitis and effusion may occur that can simulate arthritis without periostitis. It may be difficult to diagnose osteoid osteoma arising in a finger phalanx if the surgeon did not suspect to this tumor [4,5].…”

“…Several methods included medical management with NSAIDs and open surgical resection with intralesional, marginal, or wide surgical margins was done by surgeon. Recently, several CT-guided percutaneous techniques have been used to achieve ablation of the nidus [1,3,5,6]. We present a patient with osteoid osteoma which presented to our clinic, complaint of pain in the proximal phalanx of his right 4th finger.…”