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Radiofrequency Ablation of Osteoid Osteoma in Atypical Locations: A Case Series

  • Clinical Research
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Background

Osteoid osteoma has a nidus surrounded by sclerotic bone with a size usually less than 20 mm. Its diagnosis is made on typical presentation of nocturnal pain and imaging findings. Excision of the niduses, which are often small and difficult to precisely identify, sometimes may result in resection of surrounding normal bone. Minimally invasive percutaneous treatments have been used to try to minimize resection of normal bone. Although minimally invasive radiofrequency ablation generally relieves pain, its ability to relieve pain is less well known in locations other than lower extremity long bones.

Questions/purposes

We determined the pain relief and complication rates after radiofrequency ablation of osteoid osteomas presenting in atypical locations and followed patients to assess possible recurrence or late complications.

Patients and Methods

We retrospectively reviewed 21 patients with osteoid osteomas in unusual locations (eg, hip, radioulnar joint, and proximal phalanx) in whom we used radiofrequency ablation. Postoperative activities were not restricted for any of the patients. We assessed the time for patients to become symptom free, their activity status, and possible recurrence or complications. The minimum clinical followup was 12 months (mean, 27.8 months; range, 12–37 months).

Results

All patients became symptom free within 24 hours to 1 week. During followup, none of the patients experienced recurrence or any major complications.

Conclusions

Radiofrequency ablation for osteoid osteomas in unusual locations reliably relieves pain with few complications and recurrences at short-term followup.

Level of Evidence

Level IV, case series. See Guidelines for Authors for a complete description of level of evidence.

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Author information

Authors and Affiliations

  1. Noor Medical Imaging Center, Shahid Yousefian St, Motahari St, Tehran, Iran

    Shahram Akhlaghpoor MD, Abbas Arjmand Shabestari MD & Mohammad Reza Alinaghizadeh MSc

  2. Department of Radiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

    Shahram Akhlaghpoor MD & Alireza Aziz Ahari MD

  3. Department of Radiology, Modrarres Hospital, Shahid Beheshti Medical University, Tehran, Iran

    Abbas Arjmand Shabestari MD

Authors
  1. Shahram Akhlaghpoor MD
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  2. Alireza Aziz Ahari MD
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  3. Abbas Arjmand Shabestari MD
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  4. Mohammad Reza Alinaghizadeh MSc
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Corresponding author

Correspondence to Shahram Akhlaghpoor MD.

Additional information

Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

The work was performed at Noor Medical Imaging Center.

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Akhlaghpoor, S., Aziz Ahari, A., Arjmand Shabestari, A. et al. Radiofrequency Ablation of Osteoid Osteoma in Atypical Locations: A Case Series. Clin Orthop Relat Res 468, 1963–1970 (2010). https://doi.org/10.1007/s11999-010-1265-0

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  • DOI: https://doi.org/10.1007/s11999-010-1265-0

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