Archives of Orthopaedic and Trauma Surgery

, Volume 127, Issue 4, pp 299–302 | Cite as

Percutaneous resection of a patellar osteoid osteoma using a cannulated skin punch biopsy needle

  • Levent Altinel
  • Bumin Degirmenci
  • Kamil Cagri Kose
  • Onder Sahin
Case Report

Abstract

Patella is a very rare localization for osteoid osteoma. Non-specific knee complaints and difficulty to distinguish nidus in direct radiographs may cause a delay in diagnosis and make the definite diagnosis troublesome. The most effective and non-invasive method in treatment of osteoma is CT guided excision of the nidus. We present a case of patellar osteoid osteoma diagnosed by MRI scans. After being marked under CT guidance, the lesion was completely excised with a skin punch. We propose that, this method is both minimal invasive and effective in the management of patellar osteoid osteoma.

Keywords

Osteoid osteoma Patella Percutaneous resection Bone neoplasm Cannulated skin punch 

References

  1. 1.
    Athwal GS, Pichora DR, Ellis RE, Rudan JF (2004) A computer-assisted guidance technique for the localization and excision of osteoid osteoma. Orthopaedics 27:195–197Google Scholar
  2. 2.
    Bühler M, Binkert C, Exner GU (2001) Osteoid osteoma: technique of computed tomography-controlled percutaneous resection using standard equipment available in most orthopedic operating rooms. Arch Orthop Trauma Surg 121:458–461CrossRefPubMedGoogle Scholar
  3. 3.
    Campanacci M, Ruggieri P, Gasbarrini A et al (1999) Osteoid osteoma. J Bone J Surg 81(B): 814–818CrossRefGoogle Scholar
  4. 4.
    Cassar-Pullicino VN, Mccall IW, Wan S (1992) Intra-articular osteoid osteoma. Clin Radiol 45:153–160CrossRefPubMedGoogle Scholar
  5. 5.
    Cohen I, Aner A, Rzentelny V (1997) Osteoid osteoma of the patella. Harefuah 132:463–465PubMedGoogle Scholar
  6. 6.
    Francis D, Adel A, Walid M, Henry P N (1999) Osteoid osteoma: computed tomography guided percutaneous excision. Clin Orthop 366:191–196PubMedCrossRefGoogle Scholar
  7. 7.
    Georgoulis AD, Papageorgious CD, Moebius UG et al (2002) The diagnostic dilemma created by osteoid osteoma that presents as knee pain. J Arthroscopy 18:32–37Google Scholar
  8. 8.
    Gitelis S, Mc Donald DJ (1998) Common benign bone tumors and usual treatment. In: Simon MA, Springfield D (eds) Surgery for bone and soft-tissue tumors. Lippincott-Raven, Philadelphia, pp 181–185Google Scholar
  9. 9.
    Kornberg A, Stangl M, Scheele J, Hammer C (2001) Chronic persistent knee pain after repeated diagnostic arthroscopy. Osteoid osteoma, a primarily overlooked diagnosis in a young woman. Ach Orthop Trauma Surg 121:291–293CrossRefGoogle Scholar
  10. 10.
    Mercuri M, Casadei R (2001) Patellar tumors. Clin Orthop 389:35–46PubMedCrossRefGoogle Scholar
  11. 11.
    Resnick D, Niwayma G (1998) Diagnosis of bone and joint disorders. WB Saunders, PhiladelphiaGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Levent Altinel
    • 1
  • Bumin Degirmenci
    • 2
  • Kamil Cagri Kose
    • 1
  • Onder Sahin
    • 3
  1. 1.Department of Orthopedics and Trauma Surgery Afyon Kocatepe University, School of MedicineAfyonTurkey
  2. 2.Department of RadiologyAfyon Kocatepe University, School of MedicineAfyonTurkey
  3. 3.Department of Pathology Afyon Kocatepe University, School of MedicineAfyonTurkey

Personalised recommendations