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. 2015 Dec;21(4):228-34.
doi: 10.1016/j.fas.2015.04.005. Epub 2015 May 8.

Osteoid osteoma of the foot and ankle--A systematic review

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Osteoid osteoma of the foot and ankle--A systematic review

Robert W Jordan et al. Foot Ankle Surg. 2015 Dec.

Abstract

Background: Osteoid osteomas are responsible for 10% of benign bone tumours. Treatment typically involves surgical excision or radio frequency ablation. The aim of this systematic review is to evaluate reported cases of foot and ankle osteoid osteomas.

Methods: We conducted a systematic review of the literature using the online databases Medline and EMBASE. We included studies reporting osteoid osteoma diagnosed either radiologically or histologically.

Results: 94 studies were included reporting 223 cases; 70.5% were male, mean age was 23 years, 69% reported night pain and 72% responded to NSAIDs. The commonest affected bone was the talus. CT scan was the most useful radiological investigation and MRI missed the diagnosis in 34% of cases. The majority of patients underwent surgical excision but an increasing trend of ablation therapy was demonstrated.

Conclusions: A high index of suspicion based on salient history and appropriate imaging are essential for timely identification and treatment.

Keywords: Ankle; Foot; Laser thermocoagulation; Osteoid osteoma; Radiofrequency ablation.

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