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Intra-articular osteoid osteoma mimicking juvenile arthritis.

Traore SY, Dumitriu DI, Docquier PL - Case Rep Orthop (2014)

Bottom Line: In case of intra-articular osteoid osteoma, misdiagnosis as juvenile arthritis may occur, delaying adequate treatment.We report cases of intra-articular osteoid osteomas in children that were misdiagnosed and initially inappropriately treated with intra-articular corticoid injection.Clinicians and radiologists should be aware of the potentially confusing clinical and imaging findings associated with intra-articular osteoid osteoma.

View Article: PubMed Central - PubMed

Affiliation: Computer Assisted Robotic Surgery (CARS), Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain, Tour Pasteur +4, Avenue Mounier 53, 1200 Brussels, Belgium ; Service de Chirurgie Orthopédique et Traumatologique, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium.

ABSTRACT
In case of intra-articular osteoid osteoma, misdiagnosis as juvenile arthritis may occur, delaying adequate treatment. We report cases of intra-articular osteoid osteomas in children that were misdiagnosed and initially inappropriately treated with intra-articular corticoid injection. Diagnosis of osteoid osteoma was finally given by CT-scan and appropriate treatment by radiofrequency ablation or surgical ablation was performed. Clinicians and radiologists should be aware of the potentially confusing clinical and imaging findings associated with intra-articular osteoid osteoma.

No MeSH data available.


Related in: MedlinePlus

8-year-old boy with osteoid osteoma of the left talar neck. Synovial thickening of the ankle and subtalar joint was diagnosed with echography. X-ray showed ankle effusion but no bone anomaly was initially reported. However retrospective X-ray analysis showed a talar neck hyperostosis.
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fig3: 8-year-old boy with osteoid osteoma of the left talar neck. Synovial thickening of the ankle and subtalar joint was diagnosed with echography. X-ray showed ankle effusion but no bone anomaly was initially reported. However retrospective X-ray analysis showed a talar neck hyperostosis.

Mentions: Case 3. The third patient was 8-year-old boy who presented in the emergency room of our hospital for left ankle pain. Pain was permanent with ankle swelling and limping but without fever. The mobility of the ankle was painful at clinical examination. Radiography was performed and was found normal (Figure 3). Echography revealed a joint effusion, synovial thickening, and reactive hyperemia of surrounding soft tissue. Diagnosis of inflammatory arthritis was retained but no blood biology was performed. He was first treated with oral NSAIDs (ibuprofen 3 times a day) and nonweight-bearing with crutches.


Intra-articular osteoid osteoma mimicking juvenile arthritis.

Traore SY, Dumitriu DI, Docquier PL - Case Rep Orthop (2014)

8-year-old boy with osteoid osteoma of the left talar neck. Synovial thickening of the ankle and subtalar joint was diagnosed with echography. X-ray showed ankle effusion but no bone anomaly was initially reported. However retrospective X-ray analysis showed a talar neck hyperostosis.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4127225&req=5

fig3: 8-year-old boy with osteoid osteoma of the left talar neck. Synovial thickening of the ankle and subtalar joint was diagnosed with echography. X-ray showed ankle effusion but no bone anomaly was initially reported. However retrospective X-ray analysis showed a talar neck hyperostosis.
Mentions: Case 3. The third patient was 8-year-old boy who presented in the emergency room of our hospital for left ankle pain. Pain was permanent with ankle swelling and limping but without fever. The mobility of the ankle was painful at clinical examination. Radiography was performed and was found normal (Figure 3). Echography revealed a joint effusion, synovial thickening, and reactive hyperemia of surrounding soft tissue. Diagnosis of inflammatory arthritis was retained but no blood biology was performed. He was first treated with oral NSAIDs (ibuprofen 3 times a day) and nonweight-bearing with crutches.

Bottom Line: In case of intra-articular osteoid osteoma, misdiagnosis as juvenile arthritis may occur, delaying adequate treatment.We report cases of intra-articular osteoid osteomas in children that were misdiagnosed and initially inappropriately treated with intra-articular corticoid injection.Clinicians and radiologists should be aware of the potentially confusing clinical and imaging findings associated with intra-articular osteoid osteoma.

View Article: PubMed Central - PubMed

Affiliation: Computer Assisted Robotic Surgery (CARS), Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain, Tour Pasteur +4, Avenue Mounier 53, 1200 Brussels, Belgium ; Service de Chirurgie Orthopédique et Traumatologique, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium.

ABSTRACT
In case of intra-articular osteoid osteoma, misdiagnosis as juvenile arthritis may occur, delaying adequate treatment. We report cases of intra-articular osteoid osteomas in children that were misdiagnosed and initially inappropriately treated with intra-articular corticoid injection. Diagnosis of osteoid osteoma was finally given by CT-scan and appropriate treatment by radiofrequency ablation or surgical ablation was performed. Clinicians and radiologists should be aware of the potentially confusing clinical and imaging findings associated with intra-articular osteoid osteoma.

No MeSH data available.


Related in: MedlinePlus