Subperiosteal osteoid osteoma: radiographic and pathologic manifestations

Abstract

Eleven subperiosteal lesions were studied. The reactive periostitis of four lesions was atypical and misleading. Four lesions had features similar to the more common intracortical variety. Three lesions occurring within the joint like other intra-articular lesions were barely seen on plain radiographs. Bone scan and CT scan were virtually diagnostic. The histopathology of these lesions was also atypical though not misleading. In conclusion, subperiosteal osteoid osteoma is a rare lesion with atypical radiographic and histopathologic features. The unusual reactive periostitis seen in several extra-articular cases may suggest other diagnoses.

Osteoid Osteoma: Percutaneous Laser Ablation and Follow-up in 114 Patients

“…The radiologic diagnosis is accurate when combinations of bone scintigraphy, radiography, computed tomography (CT), and magnetic resonance (MR) imaging are used (4)(5)(6)(7)(8)(9). Together with clinical findings, a high-confidence, imaging-based diagnosis is possible (10)(11)(12)(13).…”

Surface lesions of the bones of the hand

“…Lesions occurring in the subperiosteum are rarer than those seen in the more conventional cortical location. Subperiosteal lesions are extremely rare in the hands with only a few reported cases [27][28][29].…”

Tumours and Tumour-Like Lesions of Bone

“…Subperiosteal lesions are extremely rare in the hand, with only limited reported cases (Crosby and Murphy 1988;Kayser et al 1998;Shankman et al 1997). The typical radiographic appearance is that of a small, radiolucent lesion or nidus surrounded by an area of bone sclerosis (Fig.…”