Intra-articular osteoid osteoma as a differential diagnosis of diffuse mono-articular joint pain

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Intra-articular osteoid osteoma as a differential diagnosis of diffuse mono-articular joint pain. / Rolvien, Tim; Zustin, Josef; Mussawy, Haider; Schmidt, Tobias; Pogoda, Pia; Ueblacker, Peter.

in: BMC MUSCULOSKEL DIS, Jahrgang 17, 04.11.2016, S. 455.

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@article{04aea2cc4ca6467280f43e1be139c24d,
title = "Intra-articular osteoid osteoma as a differential diagnosis of diffuse mono-articular joint pain",
abstract = "BACKGROUND: The aim of this retrospective study was to investigate the frequency of intra-articular osteoid osteoma (iaOO) in a large study cohort and to demonstrate its clinical relevance as an important differential diagnosis of non-specific mono-articular joint pain.METHODS: We searched the registry for bone tumours of the University Medical Centre Hamburg-Eppendorf for osteoid osteomas in the last 42 years. Herein, we present three selected iaOO which were detected in the three major weight-bearing joints. Computed tomography (CT) or magnetic resonance imaging (MRI) scans were performed for initial diagnosis.RESULTS: Out of a total of 367 osteoid osteomas, 19 (5.2 %) tumours were localized intra-articularly. In all three presented tumours, a history of severe mono-articular pain was reported; however, the mean time to correct diagnosis was delayed to 20.7 months. Clearly, the nidus seen in CT and MRI images in combination with inconsistent salicylate-responsive nocturnal pain led to the diagnosis of iaOO.CONCLUSIONS: Rarely, osteoid osteoma can occur in an intra-articular location. In cases of diffuse mono-articular pain, iaOO should be considered both in large and smaller joints to avoid delays in diagnosis and therapy of this benign bone tumour.",
author = "Tim Rolvien and Josef Zustin and Haider Mussawy and Tobias Schmidt and Pia Pogoda and Peter Ueblacker",
year = "2016",
month = nov,
day = "4",
doi = "10.1186/s12891-016-1313-3",
language = "English",
volume = "17",
pages = "455",
journal = "BMC MUSCULOSKEL DIS",
issn = "1471-2474",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Intra-articular osteoid osteoma as a differential diagnosis of diffuse mono-articular joint pain

AU - Rolvien, Tim

AU - Zustin, Josef

AU - Mussawy, Haider

AU - Schmidt, Tobias

AU - Pogoda, Pia

AU - Ueblacker, Peter

PY - 2016/11/4

Y1 - 2016/11/4

N2 - BACKGROUND: The aim of this retrospective study was to investigate the frequency of intra-articular osteoid osteoma (iaOO) in a large study cohort and to demonstrate its clinical relevance as an important differential diagnosis of non-specific mono-articular joint pain.METHODS: We searched the registry for bone tumours of the University Medical Centre Hamburg-Eppendorf for osteoid osteomas in the last 42 years. Herein, we present three selected iaOO which were detected in the three major weight-bearing joints. Computed tomography (CT) or magnetic resonance imaging (MRI) scans were performed for initial diagnosis.RESULTS: Out of a total of 367 osteoid osteomas, 19 (5.2 %) tumours were localized intra-articularly. In all three presented tumours, a history of severe mono-articular pain was reported; however, the mean time to correct diagnosis was delayed to 20.7 months. Clearly, the nidus seen in CT and MRI images in combination with inconsistent salicylate-responsive nocturnal pain led to the diagnosis of iaOO.CONCLUSIONS: Rarely, osteoid osteoma can occur in an intra-articular location. In cases of diffuse mono-articular pain, iaOO should be considered both in large and smaller joints to avoid delays in diagnosis and therapy of this benign bone tumour.

AB - BACKGROUND: The aim of this retrospective study was to investigate the frequency of intra-articular osteoid osteoma (iaOO) in a large study cohort and to demonstrate its clinical relevance as an important differential diagnosis of non-specific mono-articular joint pain.METHODS: We searched the registry for bone tumours of the University Medical Centre Hamburg-Eppendorf for osteoid osteomas in the last 42 years. Herein, we present three selected iaOO which were detected in the three major weight-bearing joints. Computed tomography (CT) or magnetic resonance imaging (MRI) scans were performed for initial diagnosis.RESULTS: Out of a total of 367 osteoid osteomas, 19 (5.2 %) tumours were localized intra-articularly. In all three presented tumours, a history of severe mono-articular pain was reported; however, the mean time to correct diagnosis was delayed to 20.7 months. Clearly, the nidus seen in CT and MRI images in combination with inconsistent salicylate-responsive nocturnal pain led to the diagnosis of iaOO.CONCLUSIONS: Rarely, osteoid osteoma can occur in an intra-articular location. In cases of diffuse mono-articular pain, iaOO should be considered both in large and smaller joints to avoid delays in diagnosis and therapy of this benign bone tumour.

U2 - 10.1186/s12891-016-1313-3

DO - 10.1186/s12891-016-1313-3

M3 - SCORING: Journal article

C2 - 27809832

VL - 17

SP - 455

JO - BMC MUSCULOSKEL DIS

JF - BMC MUSCULOSKEL DIS

SN - 1471-2474

ER -