Pediatric Radiology

, Volume 39, Issue 11, pp 1238–1241 | Cite as

Multicentric osteoid osteoma with a nidus located in the epiphysis

  • Cüneyt TamamEmail author
  • Düzgün Yıldırım
  • Muge Tamam
Case Report


We present a 13-year-old girl who was referred to our clinic with a 5-month history of right leg pain relieved by salicylates. Initial CT examination demonstrated a lesion in the posterior tibial cortex in keeping with an osteoid osteoma. This was resected and the diagnosis confirmed by histology. However, her pain recurred 2 weeks after the operation and further imaging identified a further nidus in the epiphysis. We present the imaging findings in this unique case of multicentric osteoid osteoma with one nidus located in the epiphysis.


Osteoid osteoma Epiphysis CT Child 


  1. 1.
    Lee EH, Shafi M, Hui JH (2006) Osteoid osteoma: a current review. J Pediatr Orthop 26:695–700PubMedGoogle Scholar
  2. 2.
    Kransdorf MJ, Berquist TH (2001) Musculoskeletal neoplasm. In: Berquist TH (ed) MRI of the musculoskeletal system, 4th edn. LWW, Philadelphia, pp 842–956Google Scholar
  3. 3.
    Allen SD, Saifuddin A (2003) Imaging of intra-articular osteoid osteoma. Clin Radiol 58:845–852CrossRefPubMedGoogle Scholar
  4. 4.
    Schajowicz F, Lemos C (1970) Osteoid osteoma and osteoblastoma. Closely related entities of osteoblastic derivation. Acta Orthop Scand 41:272–291PubMedCrossRefGoogle Scholar
  5. 5.
    Chiou YY, Rosenthal DI, Rosenberg AE (2003) ‘Beaded’ osteoid osteoma: a possible transition between solitary and multicentric tumor. Skeletal Radiol 32:412–415CrossRefPubMedGoogle Scholar
  6. 6.
    Kruger GD, Rock MG (1987) Osteoid osteoma of the distal femoral epiphysis. A case report. Clin Orthop Relat Res 222:203–209PubMedGoogle Scholar
  7. 7.
    Brody JM, Brower AC, Shannon FB (1992) An unusual epiphyseal osteoid osteoma. AJR 58:609–611Google Scholar
  8. 8.
    Connolly LP, Drubach LA, Treves ST (2006) Pediatric skeletal scintigraphy. In: Henkin RE (ed) Nuclear medicine: 2 volume set: Principles and practice, 2nd edn. Mosby, Philadelphia, pp 1721–1744Google Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Cüneyt Tamam
    • 1
    Email author
  • Düzgün Yıldırım
    • 2
  • Muge Tamam
    • 3
  1. 1.Orthopedics and TraumatologyKasimpasa Military Hospital, Kasimpasa Asker HastanesiIstanbulTurkey
  2. 2.Department of RadiologyKasimpasa Military HospitalIstanbulTurkey
  3. 3.Nuclear MedicineOkmeydani Training and Research HospitalIstanbulTurkey

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