Excision of Osteoid Osteoma with Intramedullary Reaming: A New Method
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Abstract
Osteoid osteoma is a small benign bone tumor usually affects adolescents and young adults. Although this tumor mainly affects the shafts of long bones there have been several reports of subperiosteal and intramedullary involvement .Complete surgical excision is the classic treatment of choice for patients with osteoid osteoma. Despite the small size of the tumor, the operative procedure for its removal can be extensive .The surgeon may have to excise a significant piece of bone to be sure the lesion is removed. There is a risk of fracture if a large amount of bone is removed and therefore internal fixation, bone grafting, or both may be required. In recent years several techniques of minimally invasive treatment of osteoid osteoma have been proposed. We introduce intramedullary reaming as a minimally invasive procedure for the treatment of intramedullary osteoid osteoma in long bones.
Jaffe HL. Osteoid osteoma: a benign osteoblastic tumor composed of osteoid and atypical bone. Arch Surg 1935;31:709-28.
Ciabattoni G, Tamburrelli F, Greco F. Increased prostacyclin biosynthesis in patients with osteoid osteoma. Eicosanoids 1991;4(3):165-7.
Makley JT, Dunn MJ. Prostaglandin synthesis by osteoid osteoma. Lancet 1982;2(8288):42.
Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gebhardt MC, Mankin HJ. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 1998;80(6):815-21.
Kneisl JS, Simon MA. Medical management comparedwith operative treatment for osteoid-osteoma. J Bone Joint Surg Am 1992;74(2):179-85.
Dussaussois L, Stelmaszyk J, Golzarian J. Percutaneous treatment of an osteoid osteoma of the scapula using a laser under scanner control. Acta Orthop Belg 1998;64(1):88-91.
Labbé JL, Clement JL, Duparc B, Poey C, Railhac JJ. Percutaneous extraction of vertebral osteoid osteoma under computed tomography guidance. Eur Spine J 1995;4(6):368-71.
Muscolo DL, Velan O, Pineda Acero G, Ayerza MA, Calabrese ME, Santini Araujo E. Osteoid osteoma of the hip. Percutaneous resection guided by computed tomography. Clin Orthop Relat Res 1995;(310):170-5.
Roger B, Bellin MF, Wioland M, Grenier P. Osteoid osteoma: CT-guided percutaneous excision confirmed with immediate follow-up scintigraphy in 16 outpatients. Radiology 1996;201(1):239-42.
Rosenthal DI, Springfield DS, Gebhardt MC, Rosenberg AE, Mankin HJ. Osteoid osteoma: percutaneous radiofrequency ablation. Radiology 1995;197(2):451-4.
Towbin R, Kaye R, Meza MP, Pollock AN, Yaw K, Moreland M. Osteoid osteoma: percutaneous excision using a CT-guided coaxial technique. AJR Am J Roentgenol 1995;164(4):945-9.
Herring JA, editor. Tachdjian's Pediatric Orthopaedics. 3rd ed. Vol 3. Philadelphia, Pa: WB Saunders; 2002.
Voto SJ, Cook AJ, Weiner DS, Ewing JW, Arrington LE. Treatment of osteoid osteoma by computed tomography guided excision in the pediatric patient. J Pediatr Orthop 1990;10(4):510-3.
Atar D, Lehman WB, Grant AD. Tips of the trade. Computerized tomography: guided excision of osteoid osteoma. Orthop Rev 1992;21(12):1457-8.
Parlier-Cuau C, Champsaur P, Nizard R, Hamze B, Laredo JD. Percutaneous removal of osteoid osteoma. Radiol Clin North Am 1998;36(3):559-66.
Donley BG, Philbin T, Rosenberg GA, Schils JP, Recht M. Percutaneous CT guided resection of osteoid osteoma of the tibial plafond. Foot Ankle Int 2000;21(7):596-8.
Katz K, Kornreich L, David R, Horev G, Soudry M. Osteoid osteoma: resection with CT guidance. Isr Med Assoc J 2000;2(2):151-3.
Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gebhardt MC, Mankin HJ. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 1998;80(6):815-21.
Barei DP, Moreau G, Scarborough MT, Neel MD. Percutaneous radiofrequency ablation of osteoid osteoma. Clin Orthop Relat Res 2000;(373):115-24.
Jawish R, Kassab F, Kairallah S, Rizk R. Osteoid osteoma of the intramedullary diaphyse in children. Rev Chir Orthop Reparatrice Appar Mot 1997;83(1):74-7.
Halanski MA, Mann DC. Case report: unusual tibia intramedullary osteoid osteoma in a two-year-old. Iowa Orthop J 2005;25:66-8.
Bhat I, Zerin JM, Bloom DA, Mooney JF 3rd. Unusual presentation of osteoid osteoma mimicking osteomyelitis in a 27-month-old infant. Pediatr Radiol 2003;33(6):425-8.
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| Issue | Vol 49, No 4 (2011) | |
| Section | Articles | |
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| Osteoid osteoma Intramedllary Methods | ||
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