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Arthroscopic Excision of Osteoid Osteoma of the Elbow

  • Geoffroy Nourissat
    Correspondence
    Address correspondence and reprint requests to Geoffroy Nourissat, M.D., Service de Chirurgie Orthopédique et Traumatologie, Hôpital Saint Antoine, 184 rue du Faubourg Saint Antoine, 75012 Paris, France.
    Affiliations
    Service de Chirurgie Orthopédique et Traumatologie, Hôpital Saint Antoine, Faculté de Médecine Saint Antoine, Paris, France
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  • Carlos Kakuda
    Affiliations
    Service de Chirurgie Orthopédique et Traumatologie, Hôpital Saint Antoine, Faculté de Médecine Saint Antoine, Paris, France
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  • Christian Dumontier
    Affiliations
    Service de Chirurgie Orthopédique et Traumatologie, Hôpital Saint Antoine, Faculté de Médecine Saint Antoine, Paris, France

    Institut de la Main, Clinque Jouvenet, Paris, France.
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Published:December 12, 2006DOI:https://doi.org/10.1016/j.arthro.2006.05.023

      Abstract

      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.

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