Abstract
Patella is a very rare localization for osteoid osteoma. Non-specific knee complaints and difficulty to distinguish nidus in direct radiographs may cause a delay in diagnosis and make the definite diagnosis troublesome. The most effective and non-invasive method in treatment of osteoma is CT guided excision of the nidus. We present a case of patellar osteoid osteoma diagnosed by MRI scans. After being marked under CT guidance, the lesion was completely excised with a skin punch. We propose that, this method is both minimal invasive and effective in the management of patellar osteoid osteoma.
Similar content being viewed by others
References
Athwal GS, Pichora DR, Ellis RE, Rudan JF (2004) A computer-assisted guidance technique for the localization and excision of osteoid osteoma. Orthopaedics 27:195–197
Bühler M, Binkert C, Exner GU (2001) Osteoid osteoma: technique of computed tomography-controlled percutaneous resection using standard equipment available in most orthopedic operating rooms. Arch Orthop Trauma Surg 121:458–461
Campanacci M, Ruggieri P, Gasbarrini A et al (1999) Osteoid osteoma. J Bone J Surg 81(B): 814–818
Cassar-Pullicino VN, Mccall IW, Wan S (1992) Intra-articular osteoid osteoma. Clin Radiol 45:153–160
Cohen I, Aner A, Rzentelny V (1997) Osteoid osteoma of the patella. Harefuah 132:463–465
Francis D, Adel A, Walid M, Henry P N (1999) Osteoid osteoma: computed tomography guided percutaneous excision. Clin Orthop 366:191–196
Georgoulis AD, Papageorgious CD, Moebius UG et al (2002) The diagnostic dilemma created by osteoid osteoma that presents as knee pain. J Arthroscopy 18:32–37
Gitelis S, Mc Donald DJ (1998) Common benign bone tumors and usual treatment. In: Simon MA, Springfield D (eds) Surgery for bone and soft-tissue tumors. Lippincott-Raven, Philadelphia, pp 181–185
Kornberg A, Stangl M, Scheele J, Hammer C (2001) Chronic persistent knee pain after repeated diagnostic arthroscopy. Osteoid osteoma, a primarily overlooked diagnosis in a young woman. Ach Orthop Trauma Surg 121:291–293
Mercuri M, Casadei R (2001) Patellar tumors. Clin Orthop 389:35–46
Resnick D, Niwayma G (1998) Diagnosis of bone and joint disorders. WB Saunders, Philadelphia
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Altinel, L., Degirmenci, B., Kose, K.C. et al. Percutaneous resection of a patellar osteoid osteoma using a cannulated skin punch biopsy needle. Arch Orthop Trauma Surg 127, 299–302 (2007). https://doi.org/10.1007/s00402-006-0108-7
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-006-0108-7