CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(03): 735-739
DOI: 10.1055/s-0041-1736392
Case Report

A Rare Presentation of Osteoid Osteoma in a 77-Year-Old Patient, Treated with Computer Tomography–Guided Percutaneous Radiofrequency Ablation

Anish Patel
1   Royal Orthopaedic Hospital, Birmingham, United Kingdom
,
Mark Davies
1   Royal Orthopaedic Hospital, Birmingham, United Kingdom
,
Steven James
1   Royal Orthopaedic Hospital, Birmingham, United Kingdom
,
Christine Azzopardi
1   Royal Orthopaedic Hospital, Birmingham, United Kingdom
,
Rajesh Botchu
1   Royal Orthopaedic Hospital, Birmingham, United Kingdom
› Author Affiliations

Abstract

Osteoid osteoma (OO) is a benign bone forming tumor characterized by small size and a disproportionate amount of pain. They are most commonly seen between the ages of 5 and 30 years; however, they can be seen in the older patient albeit infrequently. The hands and feet are the least common site of OO among the extremity bones. We present a case of an OO in the hand of a 77-year-old man who underwent successful treatment with computed tomography–guided percutaneous radiofrequency ablation. We believe this is the oldest recorded patient in the medical literature with a histologically confirmed OO. The condition should therefore be considered in the differential diagnosis of a painful sclerotic bone lesion in this age group to avoid a delay in diagnosis and subsequent treatment.

Declaration of Patient Consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.


Financial Support and Sponsorship

Nil.




Publication History

Article published online:
13 November 2021

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  • References

  • 1 Jaffe HL. Osteoid osteoma: a benign osteoblastic tumour composed of osteoid and atypical bone. Arch Surg 1935; 31: 709-728
  • 2 Unni KK, Inwards CY. Dahlin's Bone Tumours: General Aspects and Data on 10,165 Cases. 6th Revised Edition.. Lippincott Williams and Wilkins; 2010
  • 3 Mirra JM. Osseous tumours of the intramedullary origin. In: Bone Tumors: Clinical, Radiologic and Pathological Correlations. Philadelphia: Lea & Febiger; 1989: 248-438
  • 4 Kransdorf MJ, Stull MA, Gilkey FW, Moser Jr RP. Osteoid osteoma. Radiographics 1991; 11 (04) 671-696
  • 5 Rehnitz C, Sprengel SD, Lehner B. et al. CT-guided radiofrequency ablation of osteoid osteoma: correlation of clinical outcome and imaging features. Diagn Interv Radiol 2013; 19 (04) 330-339
  • 6 Gulati Y, Maheshwari AV. Brodie's abscess of the femoral neck simulating osteoid osteoma. Acta Orthop Belg 2007; 73 (05) 648-652
  • 7 Chai JW, Hong SH, Choi JY. et al. Radiologic diagnosis of osteoid osteoma: from simple to challenging findings. Radiographics 2010; 30 (03) 737-749
  • 8 Yaniv G, Shabshin N, Sharon M. et al. Osteoid osteoma–the CT vessel sign. Skeletal Radiol 2011; 40 (10) 1311-1314
  • 9 Liu PT, Kujak JL, Roberts CC, de Chadarevian J-P. The vascular groove sign: a new CT finding associated with osteoid osteomas. AJR Am J Roentgenol 2011; 196 (01) 168-173
  • 10 Liu PT, Chivers FS, Roberts CC, Schultz CJ, Beauchamp CP. Imaging of osteoid osteoma with dynamic gadolinium-enhanced MR imaging. Radiology 2003; 227 (03) 691-700
  • 11 Pottecher P, Sibileau E, Aho S. et al. Dynamic contrast-enhanced MR imaging in osteoid osteoma: relationships with clinical and CT characteristics. Skeletal Radiol 2017; 46 (07) 935-948
  • 12 Woertler K. Benign bone tumors and tumor-like lesions: value of cross-sectional imaging. Eur Radiol 2003; 13 (08) 1820-1835
  • 13 Helms CA. Osteoid osteoma. The double density sign. Clin Orthop Relat Res 1987; (222) 167-173
  • 14 Helms CA, Hattner RS, Vogler III JB. Osteoid osteoma: radionuclide diagnosis. Radiology 1984; 151 (03) 779-784
  • 15 Littenberg B, Mushlin AI. Diagnostic Technology Assessment Consortium. Technetium bone scanning in the diagnosis of osteomyelitis: a meta-analysis of test performance. J Gen Intern Med 1992; 7 (02) 158-164
  • 16 van der Naald N, Smeeing DPJ, Houwert RM, Hietbrink F, Govaert GAM, van der Velde D. Brodie's abscess. A systematic review of reported cases. J Bone Jt Infect 2019; 4 (01) 33-39
  • 17 Hoffmann RT, Jakobs TF, Kubisch CH. et al. Radiofrequency ablation in the treatment of osteoid osteoma-5-year experience. Eur J Radiol 2010; 73 (02) 374-379
  • 18 Chan R, Abdullah B, Aik S, Tok Ch. Radiofrequency ablation of a misdiagnosed Brodie's abscess. Biomed Imaging Interv J 2011; 7 (02) e17
  • 19 Carpintero-Benitez P, Aguirre MA, Serrano JA, Lluch M. Effect of rofecoxib on pain caused by osteoid osteoma. Orthopedics 2004; 27 (11) 1188-1191
  • 20 Huffman SD, Huffman NP, Lewandowski RJ, Brown DB. Radiofrequency ablation complicated by skin burn. Semin Intervent Radiol 2011; 28 (02) 179-182