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.
Key Words
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Article info
Publication history
Published online: December 12, 2006
Footnotes
Cite this article as: Nourissat G, Kakuda C, Dumontier C. Arthroscopic excision of osteoid osteoma of the elbow. Arthroscopy 2007;23:799.e1-799.e4 [doi:10.1016/j.arthro.2006.05.023].
Identification
Copyright
© 2007 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
