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. 2012:2012:820501.
doi: 10.1155/2012/820501. Epub 2012 Dec 11.

Arthroscopic excision of intra-articular hip osteoid osteoma: a report of 2 cases

Affiliations

Arthroscopic excision of intra-articular hip osteoid osteoma: a report of 2 cases

Alexandre H Nehme et al. Case Rep Orthop. 2012.

Abstract

Intra-articular osteoid osteoma is uncommon accounting for approximately 12% of all osteoid osteomas. It presents diagnostic and therapeutic challenges since several traumatic or degenerative pathologies of the joint can be simulated with delay in the diagnosis. We report the clinical, radiographic, and histopathological findings in 2 cases of intra-articular osteoid osteoma of the femoral neck and of the acetabulum. Technical aspects of arthroscopic excision and results of surgery are discussed. Arthroscopy allowed complete excision of the osteoid osteomas, with a short postoperative rehabilitation and excellent functional results.

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Figures

Figure 1
Figure 1
MR arthrogram of the right hip showing a lesion located at the base of the femoral neck.
Figure 2
Figure 2
CT scan showing the subperiosteal nidus.
Figure 3
Figure 3
3D reconstruction of the proximal femur showing the lesion at the base of the neck.
Figure 4
Figure 4
Resection of the nidus under arthroscopy.
Figure 5
Figure 5
Ap Pelvis X-ray showing a lucency in the left acetabular dome.
Figure 6
Figure 6
Coronal CT scan showing the lesion at the junction of the dome and notch of the acetabulum.

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