Top

Skeletal Radiology

Published in:

01-11-2005 | Scientific Article

Percutaneous radiofrequency thermocoagulation of osteoid osteomas: factors affecting therapeutic outcome

Authors: G. L. Cribb, W. H. Goude, P. Cool, B. Tins, V. N. Cassar-Pullicino, D. C. Mangham

Published in: Skeletal Radiology | Issue 11/2005

Abstract

Objective

To examine factors which affect local recurrence of osteoid osteomas treated with percutaneous CT-guided radiofrequency thermocoagulation.

Design and patients

A prospective study was carried out on 45 patients with osteoid osteoma who underwent percutaneous radiofrequency thermocoagulation with a minimum follow-up of 12 months

Results

There were seven local recurrences (16%); all occurred within the first year. Local recurrence was significantly related to a non-diaphyseal location (P<0.01). There was no significant relationship (P=0.05) between local recurrence and age of the patient, duration of symptoms, previous treatment, size of the lesion, positive biopsy, radiofrequency generator used or the number of needle positions. There were no complications.

Conclusions

Osteoid osteomas in a non-diaphyseal location are statistically more likely to recur than those in a diaphyseal location when treated with CT-guided percutaneous radiofrequency thermocoagulation. This relationship between local recurrence and location has not been previously reported.

Bloem JL, Kroon HM. Osseous lesions. Radiol Clin North Am 1993; 31:262–263.

Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology 2003; 229:171-175.PubMed

Lindner NJ, Ozaki T, Roedl R, Gosheger G, Winkelmann W, Wortler K. Percutaneous radiofrequency ablation in osteoid osteoma. J Bone Joint Surg Br 2001; 83:391-396.PubMed

Barei DP, Moreau G, Scarborough MT, Neel MD. Percutaneous radiofrequency ablation of osteoid osteoma. Clin Orthop 2000; 373:115–124.PubMed

Ghanem I, Collet LM, Kharrat K, et al. Percutaneous radiofrequency coagulation of osteoid osteoma in children and adolescents. J Paediatr Orthop B 2003; 12:244–252.CrossRef

Vanderschueren GM, Taminiau AH, Obermann WR, van den Berg-Huysmans AA, Bloem JL. Osteoid osteoma: factors for increased risk of unsuccessful thermal coagulation. Radiology 2004; 233:757–762.PubMed

Venbrux AC, Montague BJ, Murphy KP, et al. Image-guided percutaneous radiofrequency ablation for osteoid osteomas. J Vasc Interv Radiol 2003; 14:375-380.PubMed

Woertler K, Vestring T, Boettner F, Winklemann W, Heindel W, Linder N. Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol 2001; 12:717-722.PubMed

Witt JD, Hall-Craggs MA, Ripley P, Cobb JP, Bown SG. Interstitial laser photocoagulation for the treatment of osteoid osteoma. J Bone Joint Surg Br 2000; 82:1125-1128.PubMed

10.

DeFriend DE, Smith SP, Hughes PM. Percutaneous laser photocoagulation of osteoid osteomas under CT guidance. Clin Radiol 2003; 58:222-226.PubMed

11.

Gangi A, Dietemann JL, Gasser B, et al. Interstitial laser photocoagulation of osteoid osteoma with the use of CT guidance. Radiology 1997; 203:843–848.PubMed

12.

Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gebhardt MC, Mankin HJ. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 1998; 80:815–820.PubMed

13.

Sluga M, Windhager R, Pfeiffer M, Dominkus, M, Kotz R. Peripheral osteoid osteoma. Is there still a place for traditional surgery? J Bone Joint Surg Br 2002; 84:249–251.PubMed

14.

Campancci M, Ruggieri P, Gasbarrini A, Ferraro A, Campanacci L. Osteoid osteoma. Direct visual identification and intralesional excision of the nidus with minimal removal of bone. J Bone Joint Surg Br 1999; 81:814–820.PubMed

15.

Sim FH. Dahlin CD, Beabout JW. Osteoid osteoma: diagnostic problems. J Bone Joint Surg Am 1975; 57:154–159.PubMed

Title: Percutaneous radiofrequency thermocoagulation of osteoid osteomas: factors affecting therapeutic outcome
Authors: G. L. Cribb
W. H. Goude
P. Cool
B. Tins
V. N. Cassar-Pullicino
D. C. Mangham
Publication date: 01-11-2005
Publisher: Springer-Verlag
Published in: Skeletal Radiology / Issue 11/2005
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-005-0947-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous radiofrequency thermocoagulation of osteoid osteomas: factors affecting therapeutic outcome

Abstract

Objective

Design and patients

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Design and patients

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 11/2005

Primary synovial osteochondromatosis presenting as constrictive capsulitis

4 T MRI of chondrocalcinosis in combination with three-dimensional CT, radiography, and arthroscopy: a report of three cases

The quadruple cruciate sign of simultaneous bicompartmental medial and lateral bucket-handle meniscal tears

Hemangioendothelioma with an epithelioid phenotype arising in hemangioma of the fibula

Synovial chondromatosis of the foot presenting with Lisfranc dislocation

Imaging findings of femoroacetabular impingement syndrome