Hip preservation in crisis: total hip replacement for osteoid osteoma-induced degeneration in a young adult
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20243145Keywords:
Osteoid osteoma, THR, Bone lesion, TumourAbstract
Osteoid osteoma is a small, benign tumor known for causing severe pain, especially at night. Intra-articular osteoid osteomas are rare and often misdiagnosed due to overlapping symptoms with other joint disorders like osteoarthritis or synovitis. These tumors require advanced imaging for accurate diagnosis and may necessitate surgical intervention when conservative treatments fail. A 22-year-old female presented with a four-year history of left hip and loin pain, initially treated with NSAIDs. Her symptoms progressively worsened, leading to imaging studies that revealed a sclerotic lesion in the hip joint. A biopsy confirmed osteoid osteoma, and due to the extent of joint damage, total hip replacement (THR) was performed. Postoperative recovery was excellent, with full functional restoration and no complications. This case illustrates the diagnostic and therapeutic challenges of intra-articular osteoid osteomas. THR proved to be a successful treatment in restoring function and alleviating pain, underscoring the need for early diagnosis and individualized surgical management in advanced cases.
Metrics
References
Rosenthal DI, Francis JH, Martin T, Mark CG, Henry JM. Osteoid osteoma: Percutaneous treatment with radiofrequency energy. Radiology. 1995;229(1):171-5.
Ozaki T, et al. Intra-articular osteoid osteoma in the hip joint: Diagnostic and therapeutic difficulties. Skeletal Radiol. 2002.
Pettine KA, et al. Osteoid osteoma of the hip simulating an acute injury. A case report. J Bone Joint Surg Am. 1982.
Greenspan A. Benign bone-forming lesions: Osteoma, osteoid osteoma, and osteoblastoma: clinical, imaging, pathologic, and differential considerations. Skeletal Radiol. 1993;22(7):485-500.
Cantwell CP, Kenny P, Eustace S. Low radiation dose CT technique for guidance of radiofrequency ablation of osteoid osteoma. Radiographics. 2008;63(4):449-52.
Gibbs CP, et al. The management of osteoid osteoma: Percutaneous radiofrequency ablation versus surgical resection. J Bone Joint Surg Br. 2005.
Assoun J, Richardi G, Railhac JJ, Baunin C, Fajadet P, Giron J, et al. Osteoid osteoma: MR imaging versus CT. Radiology. 1994;191(1):217-23.
Norman A, Dorfman HD. Osteoid osteoma: Diagnostic and therapeutic problems. Radiology. 1975;110:233-8.
Jaffe HL. Osteoid osteoma: A benign osteoblastic tumor composed of osteoid and atypical bone. Arch Surg. 1935;31:709-28.
Parvizi J, et al. Diagnosis and management of osteoid osteoma: The role of CT imaging. J Bone Joint Surg Am. 2007.
Gangi A, Dietemann JL, Gasser B, Mortazavi R, Brunner P, Mourou MY, et al. Interstitial laser photocoagulation of osteoid osteomas with use of CT guidance. J Bone Joint Surg Am. 1997;203(3):843-8.
Lee EH, et al. Osteoid osteoma: A diagnostic dilemma in atypical cases. Orthopedics. 1992.
Sim FH, et al. Intralesional resection of osteoid osteoma: Long-term follow-up. J Bone Joint Surg Am. 1984.
Witt JD, et al. Arthroscopic excision of intra-articular osteoid osteoma of the hip: A case report. J Bone Joint Surg Br. 1996.
Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gebhardt MC, Mankin HJ, et al. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am. 1998;80(6):815-21.
Liu PT, Chivers FS, Roberts CC, Schultz CJ, Beauchamp CP. Imaging of osteoid osteoma with dynamic contrast-enhanced MRI. Radiology. 2003;227(3):691-700.
Downloads
Published
How to Cite
Issue
Section
