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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

Intra-articular osteoid osteoma as a differential diagnosis of diffuse mono-articular joint pain

Authors: Tim Rolvien, Jozef Zustin, Haider Mussawy, Tobias Schmidt, Pia Pogoda, Peter Ueblacker

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

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Abstract

Background

The aim of this retrospective study was to investigate the frequency of intra-articular osteoid osteoma (iaOO) in a large study cohort and to demonstrate its clinical relevance as an important differential diagnosis of non-specific mono-articular joint pain.

Methods

We searched the registry for bone tumours of the University Medical Centre Hamburg-Eppendorf for osteoid osteomas in the last 42 years. Herein, we present three selected iaOO which were detected in the three major weight-bearing joints. Computed tomography (CT) or magnetic resonance imaging (MRI) scans were performed for initial diagnosis.

Results

Out of a total of 367 osteoid osteomas, 19 (5.2 %) tumours were localized intra-articularly. In all three presented tumours, a history of severe mono-articular pain was reported; however, the mean time to correct diagnosis was delayed to 20.7 months. Clearly, the nidus seen in CT and MRI images in combination with inconsistent salicylate-responsive nocturnal pain led to the diagnosis of iaOO.

Conclusions

Rarely, osteoid osteoma can occur in an intra-articular location. In cases of diffuse mono-articular pain, iaOO should be considered both in large and smaller joints to avoid delays in diagnosis and therapy of this benign bone tumour.
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Metadata
Title
Intra-articular osteoid osteoma as a differential diagnosis of diffuse mono-articular joint pain
Authors
Tim Rolvien
Jozef Zustin
Haider Mussawy
Tobias Schmidt
Pia Pogoda
Peter Ueblacker
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-1313-3

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