Document Detail

Arthroscopic excision of osteoid osteoma of the elbow.
MedLine Citation:
PMID:  17637425     Owner:  NLM     Status:  MEDLINE    
Osteoid osteomas (OOs) are benign tumors; intra-articular lesions are rare, and few localizations at the elbow are reported. We present 2 cases of OO in young patients; both described limited motion, and 1 patient reported pain. Diagnosis was suspected on the basis of computed tomography findings. Arthroscopic exploration of the joint was performed, bony biopsy was undertaken, and excision of the lesion was completed. In both cases, pathologic examination confirmed the diagnosis. The first patient had an excellent clinical result and returned to full activity in 2 weeks. The second patient underwent only partial excision of the lesion, probably because of the technical nature of the procedure (use of the shaver is not indicated in optimal treatment of OO). Arthroscopy is a useful and safe technique for OO excision when specific steps are followed: A shaver must be used only for exposition of big or deep lesions--not for treatment; in addition, bony biopsy must be performed, curettage must be completed with a curette, and a burr should be used at the end of the procedure to destroy hyperemic lesions. Elbow contracture does not have to be treated because it is directly related to the osteoma, and excision of the osteoma will restore full mobility.
Geoffroy Nourissat; Carlos Kakuda; Christian Dumontier
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-12-08
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  23     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-07-19     Completed Date:  2007-09-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  799.e1-4     Citation Subset:  IM    
Service de Chirurgie Orthopédique et Traumatologie, Hôpital Saint Antoine, Faculté de Médecine Saint Antoine, Paris, France.
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MeSH Terms
Arthroscopy / methods*
Bone Neoplasms / diagnosis,  surgery*
Elbow Joint*
Osteoma, Osteoid / diagnosis,  surgery*
Treatment Outcome

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