Intra-articular osteoid osteoma in the proximal tibia and its imaging characteristics
Standard
Intra-articular osteoid osteoma in the proximal tibia and its imaging characteristics. / Krause, Matthias; Oheim, Ralf; Meenen, Norbert M; Frosch, Karl-Heinz; Amling, Michael.
in: KNEE, Jahrgang 23, Nr. 5, 10.2016, S. 915-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Intra-articular osteoid osteoma in the proximal tibia and its imaging characteristics
AU - Krause, Matthias
AU - Oheim, Ralf
AU - Meenen, Norbert M
AU - Frosch, Karl-Heinz
AU - Amling, Michael
N1 - Copyright © 2016 Elsevier B.V. All rights reserved.
PY - 2016/10
Y1 - 2016/10
N2 - Due to mostly non-specific clinical symptoms and variable appearance on magnetic resonance imaging (MRI), the diagnosis of an intra-articular osteoid osteoma (iaOO) is often delayed. We report the case of a 26-year-old male with an atypical clinical manifestation of an iaOO in the proximal tibia and its MRI specific characteristics of tumor progression. The patient presented to our clinic after receiving multiple unsuccessful conservative and surgical interventions due to anterior knee pain, which persisted for 12months. Prior to the correct diagnosis of iaOO manifestation, the patient was subjected to multiple steroid infiltrations and two arthroscopies including partial meniscal resection. Due to increasing complaints, meniscal transplantation, bone decompression and/or ACL reconstruction were recommended. Subsequent computer tomography (CT) scanning and successful test medication with salicylates (ASS) confirmed iaOO presentation. Only after arthroscopic tumor resection was the patient symptom free at three months of follow-up. The present description of MRI specific characteristics of iaOO progression has the potential to accelerate correct tumor detection in the future.
AB - Due to mostly non-specific clinical symptoms and variable appearance on magnetic resonance imaging (MRI), the diagnosis of an intra-articular osteoid osteoma (iaOO) is often delayed. We report the case of a 26-year-old male with an atypical clinical manifestation of an iaOO in the proximal tibia and its MRI specific characteristics of tumor progression. The patient presented to our clinic after receiving multiple unsuccessful conservative and surgical interventions due to anterior knee pain, which persisted for 12months. Prior to the correct diagnosis of iaOO manifestation, the patient was subjected to multiple steroid infiltrations and two arthroscopies including partial meniscal resection. Due to increasing complaints, meniscal transplantation, bone decompression and/or ACL reconstruction were recommended. Subsequent computer tomography (CT) scanning and successful test medication with salicylates (ASS) confirmed iaOO presentation. Only after arthroscopic tumor resection was the patient symptom free at three months of follow-up. The present description of MRI specific characteristics of iaOO progression has the potential to accelerate correct tumor detection in the future.
KW - Journal Article
U2 - 10.1016/j.knee.2016.05.005
DO - 10.1016/j.knee.2016.05.005
M3 - SCORING: Journal article
C2 - 27288066
VL - 23
SP - 915
EP - 919
JO - KNEE
JF - KNEE
SN - 0968-0160
IS - 5
ER -