PMID: 11934072Apr 6, 2002Paper

Intra-articular osteoid osteoma of the lower extremity: diagnostic problems

Foot & Ankle International
Barca FrancescoSpina Vincenzo

Abstract

We report five cases of intra-articular osteoid osteoma. Physical findings of osteoid osteoma vary with the site of the tumor. Juxta- and intra-articular osteoid osteomas present various atypical and nonspecific features. They are recorded both for their rarity and for the unusual clinical and roentgenographic findings that may delay diagnosis or induce misdiagnosis. Specialized imaging techniques may hasten diagnosis, but only an accurate clinical history, with a high index of suspicion, can allow for a proper diagnosis. When the diagnosis is suspected, we suggest that the most sensitive test is a "three-phase" technetium-99m bone-scan followed by computerized tomographic-scanning. Detailed evaluation of the suspected area, using thin sections is required to prevent misinterpretation, especially in a diagnosis involving first sprain of an ankle. The following cases of intra-articular osteoid osteoma illustrate the problems encountered in their diagnosis.

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Citations

Aug 23, 2019·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Francesco ArrigoniCarlo Masciocchi
Jul 18, 2006·Foot & Ankle International·José A V Sanhudo
Dec 15, 2006·Pain Practice : the Official Journal of World Institute of Pain·Phillip S SizerOmer Matthijs
Aug 30, 2008·Journal of Orthopaedic Surgery·V Pai, V S Pai
Nov 3, 2005·Acta Orthopaedica·Devraj BanerjeeHayden Morris
Sep 20, 2012·Archives of Orthopaedic and Trauma Surgery·Kiriakos DaniilidisV Vieth
Sep 1, 2010·Einstein·Marcelo Pires PradoDaniel Tassetto Amodio
Mar 7, 2020·Foot & Ankle International·Joseph SerinoDaniel D Bohl
Feb 28, 2009·Der Orthopäde·I MommertA Suckel
Aug 30, 2008·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Carolyn M SofkaRobert Schneider
Jul 10, 2020·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Thomas GermannChristoph Rehnitz
May 7, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jesús Payo-OlleroCarlos Villas

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