Minimally Invasive Technique for Treatment of Osteoid Osteoma: A Case of Anatomically Critical Lesion in an Adolescent Patient

Fardad Masoumi; Mohammad Hasan Sharafi; Mohammad Hossein Nabian

doi:10.18502/jost.v7i2.7007

Fardad Masoumi Orthopedic Surgery Ward, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran AND Tabriz University of Medical Sciences, Shohada Educational Hospital, Tabriz, Iran
Mohammad Hasan Sharafi Resident, Department of Orthopedic and Trauma Surgery, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Mohammad Hossein Nabian Assistant Professor, Center of Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v7i2.7007

Keywords: Osteoid Osteoma; Bone Neoplasms; Treatment

Abstract

Background: Osteoid osteoma is a benign osteogenic tumor affecting adolescents and young adults. It is managed using different treatment options. The lesions located around the lesser trochanter is rare and the management of these lesions is troublesome. Here, we report a case of an osteoid osteoma in the lesser trochanteric region, managed with a minimally invasive surgical excision of the lesion.

Case Report: In a 14-year-old girl patient with nocturnal left thigh pain from 2 years before, conservative treatment with administration of non-steroidal anti-inflammatory drugs (NSAIDs) was not effective, and symptoms were refractory to medication. The day after surgery the patient was pain-free.

Conclusion: The surgical management of osteoid osteoma in the region of the lesser trochanter is troublesome. The minimally invasive surgical excision of the lesion using CT-guided percutaneous drilling and resection of the osteoid osteoma is a safe, simple, cost-benefit, and effective technique.