Learning objectives
To illustrate the imaging signs of intraarticular osteoid osteoma (OO) of the hip in 13 patients followed in our center.
To demonstrate the imaging usefulness,
particularly MRI,
in the diagnosis of this entity.
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To point out the main differences between the most common form of cortical OO and intraarticular OO.
Background
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Osteoid osteoma (OO) is a benign bone lesion,
representing almost 10% of all benign skeletal lesions (1).
It is most frequently seen in young patients in their 20s and 30s,
with a peak age in the early twenties (1,2).
A male predominance has already been established,
with a reported male-to-female ratio of 4:1 in one large patient series (3).
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OOs can involve any bone of the skeletal system,
but...
Imaging findings OR Procedure Details
We retrospectively collected from 2010 until 2015,
25 cases of OO,
13 of them were intra or juxta articular hip OOs (table1).
The much higher percentage of intra or juxta-articular hip OOs depicted in this series,
when comparing with published radiological series,
was due to the fact that our hospital is a reference centre on hip surgery.
We have made the correlation between the radiological findings and the histology after surgery to validate the imaging diagnosis.
The most affected joint in OOs is the hip...
Conclusion
Intraarticular osteomas,
particularly on the hip are problematic lesions both in terms of being more difficult to detect and in terms of having a nonspecific appearance on imaging.
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References
1- Pikoulas C,
Mantzikopoulos G,
Thanos L,
et al.
Unsually located osteoid osteomas.
Eur J Radiol,
1995; 20:120-125.
2- Gebauer B,
Collettini F,
et al.
Radiofrequency ablation of osteoid Osteomas: Analgesia and Patient Satisfaction in Long-term Follow-up.
Forrtschr Rontgenstr 2013; 185:959-966.
3- Kransdorf MJ,
Stull MA,
Gilkey FW,
Moser RRP Jr.
Osteoid Osteoma.
Radiographics 1991; 11:671-696.
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4- Resnick D,
Niwayama G.
Tumors and tumor-like lesions of bone: imaging and pathology of specific lesions,
In: Resnick d,
Kyriakos...