Case Report

Minimally Invasive Technique for Treatment of Osteoid Osteoma: A Case of Anatomically Critical Lesion in an Adolescent Patient

Abstract

Background: Osteoid osteoma is a benign osteogenic tumor affecting adolescents and young adults. It is managed using different treatment options. The lesions located around the lesser trochanter is rare and the management of these lesions is troublesome. Here, we report a case of an osteoid osteoma in the lesser trochanteric region, managed with a minimally invasive surgical excision of the lesion.

 

Case Report: In a 14-year-old girl patient with nocturnal left thigh pain from 2 years before, conservative treatment with administration of non-steroidal anti-inflammatory drugs (NSAIDs) was not effective, and symptoms were refractory to medication. The day after surgery the patient was pain-free.

 

Conclusion: The surgical management of osteoid osteoma in the region of the lesser trochanter is troublesome. The minimally invasive surgical excision of the lesion using CT-guided percutaneous drilling and resection of the osteoid osteoma is a safe, simple, cost-benefit, and effective technique.

1. Farman AG, Nortje CJ, Grotepass F. Periosteal benign osteoblastoma of the mandible. Report of a case and review of the literature pertaining to benign osteoblastic neoplasms of the jaws. Br J Oral Surg. 1976;14(1):12-22. doi: 10.1016/0007-117x(76)90088-3. [PubMed: 1066151].
2. Campanacci M. Bone and Soft tissue tumors: Clinical features,

imaging, pathology and treatment. Berlin, Germany: Springer Vienna; 1999.

3. Dookie AL, Joseph RM. Osteoid osteoma; 2019. [PubMed: 30725964]. [Bookshelf ID: NBK537279]

4. Kitsoulis P, Mantellos G, Vlychou M. Osteoid osteoma. Acta Orthop Belg. 2006;72(2):119-25. [PubMed: 16768252].

5. Jordan RW, Koc T, Chapman AW, Taylor HP. Osteoid osteoma of the foot and ankle-A systematic review. Foot Ankle Surg. 2015;21(4):228-34. doi: 10.1016/j.fas.2015.04.005. [PubMed: 26564722].

6. Hasegawa T, Hirose T, Sakamoto R, Seki K, Ikata T, Hizawa K.

Mechanism of pain in osteoid osteomas: An

immunohistochemical study. Histopathology.

1993;22(5):487-91. doi: 10.1111/j.1365-2559.1993.tb00163.x.

[PubMed: 8344659].

7. Atesok KI, Alman BA, Schemitsch EH, Peyser A, Mankin H. Osteoid osteoma and osteoblastoma. J Am Acad Orthop Surg. 2011;19(11):678-89. doi: 10.5435/00124635-201111000-00004. [PubMed: 22052644].

8. Golding JS. The natural history of osteoid osteoma; with a report of twenty cases. J Bone Joint Surg Br. 1954;36-B(2):218-29. doi: 10.1302/0301-620X.36B2.218. [PubMed: 13163104].

9. Bottner F, Roedl R, Wortler K, Grethen C, Winkelmann W, Lindner N. Cyclooxygenase-2 inhibitor for pain management in osteoid osteoma. Clin Orthop Relat Res. 2001;(393):258-63. doi: 10.1097/00003086-200112000-00029. [PubMed: 11764357].

10. Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: Percutaneous treatment with radiofrequency energy. Radiology. 2003;229(1):171-5. doi: 10.1148/radiol.2291021053. [PubMed: 12944597].

11. Cantwell CP, Obyrne J, Eustace S. Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation. Eur Radiol. 2004;14(4):607-17. doi: 10.1007/s00330-003-2171-6. [PubMed: 14663625].

12. Petrilli M, Senerchia AA, Petrilli AS, Lederman HM, Garcia Filho RJ. Computed tomography-guided percutaneous trephine removal of the nidus in osteoid osteoma patients: Experience of a single center in Brazil. Radiol Bras. 2015;48(4):211-5. doi: 10.1590/0100-3984.2014.0024. [PubMed: 26379318]. [PubMed Central: PMC4567358].

13. Raux S, Abelin-Genevois K, Canterino I, Chotel F, Kohler R. Osteoid osteoma of the proximal femur: treatment by percutaneous bone resection and drilling (PBRD). A report of

44 cases. Orthop Traumatol Surg Res. 2014;100(6):641-5. doi: 10.1016/j.otsr.2014.05.017. [PubMed: 25217029].

14. Muscolo DL, Velan O, Pineda Acero G, Ayerza MA, Calabrese ME, Santini Araujo E. Osteoid osteoma of the hip. Percutaneous resection guided by computed tomography. Clin Orthop Relat Res. 1995;(310):170-5. [PubMed: 7641435].
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IssueVol 7, No 2 (2021) QRcode
SectionCase Report
DOI https://doi.org/10.18502/jost.v7i2.7007
Keywords
Osteoid Osteoma; Bone Neoplasms; Treatment
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How to Cite
1.
Masoumi F, Nabian MH, Sharafi MH. Minimally Invasive Technique for Treatment of Osteoid Osteoma: A Case of Anatomically Critical Lesion in an Adolescent Patient. J Orthop Spine Trauma. 2021;7(2):74-6.