Abstract
Osteoid osteoma is one of the unusual causes of musculosceletal pain. A case of a 21-year-old man who had low back and hip pain radiating to the posterior thigh for 3 years is presented. Pain was worse at night but reduced with the use of nonsteroidal anti-inflammatory drugs. Straight leg raising test was negative. Patrick–Fabere and sacroiliac compression tests were positive on the right. Neurological examination was normal. Lumbar spinal and pelvic radiographs were normal except for sclerosis at the inferior half of the iliac bone adjacent to the right sacroiliac joint. Sedimentation rate, C-reactive protein, and whole blood counts were normal. Bone scan showed nonspecific increased uptake. Computed tomography revealed the presence of diffuse sclerosis at inferior half of the right iliac bone extending to medial border of sacroiliac joint with subcortical osteolytic region and centrally hyperdense sclerotic nidus inside.
This is a preview of subscription content, log in via an institution to check access.
References
Sinha S, Housden P (2004) Discrete synchronous multifocal osteoid osteoma of the femur (a case report and review of literature). Pediatr Radiol 34(3):280
Radcliffe SN, Walsh JH, Carty H (1998) Osteoid osteoma: the difficult diagnosis. Eur J Radiol 28:67–69
Schaefer MP, Smith J (2003) The diagnostic and therapeutic challenge of femoral head osteoid osteoma presenting as thigh pain: a case report. Arch Phys Med Rehabil 84:904–905
Alvarez MS, Moneo RP, Palacios AJ (2001) Arthroscopic extirpation of an osteoid osteoma of the acetabulum. Arthroscopy 17:768–771
Ishikawa Y, Okada K, Miyakoshi N, Takahashi S, Shimada Y, Ltoi E, Nishida J (2005) Osteoid osteoma of the scapula associated with synovitis of the shoulder. J Shoulder Elbow Surg 4:329–332
Greco F, Tamburelli F, Ciabattoni G (1991) Prostaglandins in osteoid osteoma. Int Orthop 15:35–37
Spencer EE, Beirman JS, Femino JE (2002) Osteoid osteoma of the fifth metatarsal: a cease report and literature review. J Foot Ankle Surg 8:71–78
Mazlaut O, Saudan M, Ladeb MF, Garcia JF, Bianchi S (2004) Osteoid osteoma of the talar neck. Eur J Radiol Extra 49:67–70
Allen SD, Saıfuddın A (2003) Imaging of intra-articular osteoid osteoma. Clin Radiol 58:845–852
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Duman, İ., Aydemir, K., Tan, A.K. et al. An unusual case of osteoid osteoma clinically mimicking sacroiliitis. Clin Rheumatol 26, 1158–1160 (2007). https://doi.org/10.1007/s10067-006-0280-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-006-0280-8