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Intramedullary Osteoid Osteoma: a Rare Cause of the Inability to Walk of 12-Month Girl: a Case Report

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Abstract   

Osteoid osteoma is a benign bone tumor consisting of an osteoblastic mass called nidus surrounded by a sclerotic bone. This disease most commonly affects children and young adults, but only 3–8% of cases are under the age of 5. In our article, we aimed to present the follow-up and treatment of intramedullary osteoid osteoma in a 12-month-old girl, which is very rare due to her age and location. A 12-month-old girl patient, who had complaints of uncontrollable crying, not gaining weight, and restlessness, especially at night since she was 8 months old consulted after seeing a swelling in the left cruris. When the nidus was seen with the CT images and the diagnosis was clarified, the parents were informed, and surgical preparation was started. A 2 × 1 cm elliptical bone window was opened, and the red-colored tissue thought to be nidus tissue was removed and sent for histopathological examination. The diagnosis of intramedullary osteoid osteoma was confirmed histopathologically. Only 3–5% of osteoid osteomas occur under 5 years of age. Osteoid osteomas, which appear under 1 year of age, are less common. Classical symptoms may not be seen in osteoid osteomas seen in infants and diagnosis may be challenging. Osteoid osteoma should be kept in mind in the diagnosis of these patients who may present with atypical symptoms in this age group.

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Data Availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Abbreviations

CT :

Computed tomography

CM :

Centimeters

MRI :

Magnetic resonance imaging

CRP :

C reactive protein

WBC :

White blood cell

H&E :

Hematoxylin and eosin

RFA :

Radiofrequency ablation

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Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Health Sciences University, Bağcılar Training and Research Hospital, Dr. Sadik Ahmet Street No:5, 34200, Bagcilar, Istanbul, Turkey

    Muhammed Uslu & Ozan Beytemur

  2. Department of Pathology, Health Sciences University, Bağcılar Training and Research Hospital, Istanbul, Turkey

    Nilsen Yıldırım Erdoğan

Authors
  1. Muhammed Uslu
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  2. Nilsen Yıldırım Erdoğan
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  3. Ozan Beytemur
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Contributions

All authors contributed to the study conception and design. Idea, drafting article, and data collection were performed by M.U. Analysis of data N.Y.E. revising the drafted article O.B. All authors read and approved the final manuscript.

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Correspondence to Muhammed Uslu.

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Not applicable. Informed written consent was obtained from the parents of the subject described in this report.

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Informed written consent was obtained from the parents of the subject described in this report.

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Informed written consent was obtained from the parents of the subject described in this report.

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The authors declare no competing interests.

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Uslu, M., Yıldırım Erdoğan, N. & Beytemur, O. Intramedullary Osteoid Osteoma: a Rare Cause of the Inability to Walk of 12-Month Girl: a Case Report. SN Compr. Clin. Med. 5, 270 (2023). https://doi.org/10.1007/s42399-023-01611-z

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  • DOI: https://doi.org/10.1007/s42399-023-01611-z

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