Case ReportNo Access

Osteoid Osteoma of Scaphoid Treated with Radiofrequency Ablation

Department of Radiodiagnosis & Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India

E-mail Address: ankurgoyalaiims@gmail.com

Correspondence to: Ankur Goyal, Department of Radiodiagnosis & Interventional Radiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. Tel: +91-1126594889.

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Shivanand GAMANAGATTI

Department of Radiodiagnosis & Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India

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, and

Mohammed T. ANSARI

Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India

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https://doi.org/10.1142/S2424835522720316Cited by:1 (Source: Crossref)

Abstract

Osteoid osteoma is one of the commonest benign bone tumour of adolescence. Diagnosis is based upon the typical clinical features, site of occurrence and imaging findings. Occurrence of this lesion in an atypical site is associated with delay in diagnosis and challenges in management. We present a rare case of osteoid osteoma in scaphoid in a 14-year-old girl. Comprehensive work-up using radiograph, computerized tomography (CT), magnetic resonance imaging and Tc⁹⁹-multidetector methylene diphosphonate (MDP) bone scan was used to make the correct diagnosis over other conditions with similar presentation like de Quervain tenosynovitis, intersection syndrome and inflammatory arthropathies. We also describe the treatment using CT-guided percutaneous radiofrequency ablation of this lesion and a brief literature review regarding the incidence of this lesion and treatment options available.

Level of Evidence: Level V (Therapeutic)

Keywords:

REFERENCES

1. Severo AL, Araújo R, Puentes R. Osteoid osteoma of the scaphoid bone: A case report. J Hand Surg Eur Vol. October, 2012;37(8):797–799. https://doi.org/10.1177/1753193412446298. Crossref, Google Scholar
2. De Smet L. Osteoid osteoma of the hand and wrist. J Hand Surg Am. 2001;1(4):267–274. https://doi.org/10.1053/jssh.2001.28804. Crossref, Google Scholar
3. Kransdorf MJ, Stull MA, Gilkey FW, Moser RP Jr. Osteoid osteoma. Radiographics. July, 1991;11(4):671–696. https://doi.org/10.1148/radiographics.11.4.1887121. Crossref, Google Scholar
4. Cantwell CP, Obyrne J, Eustace S. Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation. Eur Radiol. April, 2004; 14(4): 607–617. https://doi.org/10.1007/s00330-003-2171-6. Crossref, Google Scholar
5. Almquist EE. Painful conditions of the forearm, wrist, and hand. In: Loeser JD, Bonica JD, eds. Bonica’s Management of Pain. 3rd ed. Lippincott Williams & Wilkins; 2001. Google Scholar
6. Michaelides M, Drakonaki E, Petridou E, Pantziara M, Ioannides C. Osteoid osteoma of the scaphoid bone associated with flexor carpi radialis calcific tendinitis and treated with CT-guided RF ablation. Skeletal Radiol. 2018;47(10):1449–1453. https://doi.org/10.1007/s00256-018-2926-4. Crossref, Google Scholar
7. Kussman SR, Thompson M, Chang EY. Osteoid osteoma of the scaphoid: Magnetic resonance imaging vessel sign. Clin Imaging. 2015;39(4):725–727. https://doi.org/10.1016/j.clinimag.2015.02.001. Crossref, Google Scholar
8. Soong M, Jupiter J, Rosenthal D. Radiofrequency ablation of osteoid osteoma in the upper extremity. J Hand Surg Am. 2006;31(2):279–283. https://doi.org/10.1016/j.jhsa.2005.10.012. Crossref, Google Scholar
9. Harrod CC, Boykin RE, Jupiter JB. Pain and swelling after radiofrequency treatment of proximal phalanx osteoid osteoma: Case report. J Hand Surg Am. 2010;35(6):990–994. https://doi.org/10.1016/j.jhsa.2010.03.012. Crossref, Google Scholar
10. Vanderschueren GM, Taminiau AH, Obermann WR, Bloem JL. Osteoid osteoma: Clinical results with thermocoagulation. Radiology. 2002;224(1):82–86. https://doi.org/10.1148/radiol.2241011135. Crossref, Google Scholar