Treatment of osteoid osteoma with CT-guided drilling and ethanol instillation

Deutsche medizinische Wochenschrift
S H DudaC D Claussen

Abstract

For 6 months a 25-year-old man had been suffering from intermittent pain in the left upper leg, alleviated by aspirin. Physical examination was unremarkable: local pain was not elicited. Routine radiology and computed tomography confirmed the clinically suspected diagnosis of intracortical osteoid osteoma of the femur. Skeletal scintigraphy showed distinctive local concentration of the contrast material. DIAGNOSTIC PROCEDURE, TREATMENT AND COURSE: The lesion's central area was identified by CT and under general anaesthesia drilled into (5 mm diameter drill bit). As the lesion's edges remained partially intact, the cavity was sterilized with 1-2 ml of 96% ethanol. The patient was mobilized after six hours. He has remained free of pain in the subsequent 7 months. Minimally invasive, CT-guided percutaneous treatment of an osteoid osteoma can be achieved by a combined radiological and percutaneous orthopaedic procedure as an alternative to open surgery.

Citations

Aug 30, 2008·Journal of Medical Case Reports·Efstathios ChronopoulosDimitrios Korres
Feb 20, 2009·Orthopedics·Zafiria G PapathanassiouDimitrios Siablis
May 27, 2008·European Radiology·Leila ZouariJean-Denis Laredo
Feb 1, 2006·Cardiovascular and Interventional Radiology·Bernhard GebauerChristian Stroszczynski
Jun 13, 2001·Clinical Orthopaedics and Related Research·W SchulzeG Muhr
Dec 1, 2006·The Journal of International Medical Research·P J PapagelopoulosP N Soucacos

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