Osteoid osteoma: Contemporary management

Shahryar Noordin, Salim Allana, Kiran Hilal, Naila Nadeem, Riaz Lakdawala, Anum Sadruddin, Nasir Uddin

Research output: Contribution to journalReview articlepeer-review

53 Citations (Scopus)

Abstract

Osteoid osteoma is a benign bone-forming tumor with hallmark of tumor cells directly forming mature bone. Osteoid osteoma accounts for around 5% of all bone tumors and 11% of benign bone tumors with a male predilection. It occurs predominantly in long bones of the appendicular skeleton. According to Musculoskeletal Tumor Society staging system for benign tumors, osteoid osteoma is a stage-2 lesion. It is classified based on location as cortical, cancellous, or subperiosteal. Nocturnal pain is the most common symptom that usually responds to salicyclates and non-steroidal anti-inflamma-tory medications. CT is the modality of choice not only for diagnosis but also for specifying location of the lesion, i.e. cortical vs sub periosteal or medullary. Non-operative treatment can be considered as an option since the natural history of osteoid osteoma is that of spontaneous healing. SurgicalN o treat-ment is an option for patients with severe pain and those not responding to NSAIDs. Available surgical procedures include radiofrequency (RF) ablation, CT-guided percutaneous excision and en bloc resection.

Original languageEnglish
Article number7496
Pages (from-to)108-119
Number of pages12
JournalOrthopedic Reviews
Volume10
Issue number3
DOIs
Publication statusPublished - 5 Sept 2018

Keywords

  • Benign
  • Imaging
  • Management
  • Osteoid osteoma
  • Pathogenesis
  • Tumor

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