Abstract
The atypical presentation of intra-articular osteoid osteoma in the hip joint frequently results in delayed diagnosis compared with the diagnosis of extra-articular osteoid osteoma. We present 2 cases of hip joint osteoid osteoma in children treated by hip arthroscopy. Intra-articular osteoid osteoma was suspected when computed tomography (CT) findings were reviewed. Of the various surgical options including wide-open or CT-guided minimally invasive techniques, arthroscopic excision was selected for our patients to avoid damage to the adjacent growth plate (the triradiate cartilage) and to treat concomitant synovitis. Under arthroscopic visualization, biopsy specimens were obtained first, and the lesions were excised. In both cases, postoperative CT showed complete excision and histologic examination confirmed the diagnosis. Both patients enjoyed excellent clinical outcomes. We conclude that the arthroscopic excision of the hip joint osteoid osteoma in children is effective because it causes minimal damage to normal bone or the adjacent growth plate, and because synovectomy for concomitant synovitis may be performed. Hip arthroscopy also yields a biopsy specimen adequate for pathologic examination.
| Original language | English |
|---|---|
| Pages (from-to) | 547-551 |
| Number of pages | 5 |
| Journal | Journal of Pediatric Orthopaedics |
| Volume | 29 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2009 Sep 1 |
Fingerprint
Keywords
- Arthroscopy
- Children
- Hip
- Osteoid osteoma
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Orthopedics and Sports Medicine
Cite this
Arthroscopic excision of osteoid osteomas of the hip in children. / Lee, Dae Hee; Jeong, Woong-Kyo; Lee, Soon-Hyuck.
In: Journal of Pediatric Orthopaedics, Vol. 29, No. 6, 01.09.2009, p. 547-551.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Arthroscopic excision of osteoid osteomas of the hip in children
AU - Lee, Dae Hee
AU - Jeong, Woong-Kyo
AU - Lee, Soon-Hyuck
PY - 2009/9/1
Y1 - 2009/9/1
N2 - The atypical presentation of intra-articular osteoid osteoma in the hip joint frequently results in delayed diagnosis compared with the diagnosis of extra-articular osteoid osteoma. We present 2 cases of hip joint osteoid osteoma in children treated by hip arthroscopy. Intra-articular osteoid osteoma was suspected when computed tomography (CT) findings were reviewed. Of the various surgical options including wide-open or CT-guided minimally invasive techniques, arthroscopic excision was selected for our patients to avoid damage to the adjacent growth plate (the triradiate cartilage) and to treat concomitant synovitis. Under arthroscopic visualization, biopsy specimens were obtained first, and the lesions were excised. In both cases, postoperative CT showed complete excision and histologic examination confirmed the diagnosis. Both patients enjoyed excellent clinical outcomes. We conclude that the arthroscopic excision of the hip joint osteoid osteoma in children is effective because it causes minimal damage to normal bone or the adjacent growth plate, and because synovectomy for concomitant synovitis may be performed. Hip arthroscopy also yields a biopsy specimen adequate for pathologic examination.
AB - The atypical presentation of intra-articular osteoid osteoma in the hip joint frequently results in delayed diagnosis compared with the diagnosis of extra-articular osteoid osteoma. We present 2 cases of hip joint osteoid osteoma in children treated by hip arthroscopy. Intra-articular osteoid osteoma was suspected when computed tomography (CT) findings were reviewed. Of the various surgical options including wide-open or CT-guided minimally invasive techniques, arthroscopic excision was selected for our patients to avoid damage to the adjacent growth plate (the triradiate cartilage) and to treat concomitant synovitis. Under arthroscopic visualization, biopsy specimens were obtained first, and the lesions were excised. In both cases, postoperative CT showed complete excision and histologic examination confirmed the diagnosis. Both patients enjoyed excellent clinical outcomes. We conclude that the arthroscopic excision of the hip joint osteoid osteoma in children is effective because it causes minimal damage to normal bone or the adjacent growth plate, and because synovectomy for concomitant synovitis may be performed. Hip arthroscopy also yields a biopsy specimen adequate for pathologic examination.
KW - Arthroscopy
KW - Children
KW - Hip
KW - Osteoid osteoma
UR - http://www.scopus.com/inward/record.url?scp=69749121622&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=69749121622&partnerID=8YFLogxK
U2 - 10.1097/BPO.0b013e3181b2b877
DO - 10.1097/BPO.0b013e3181b2b877
M3 - Article
C2 - 19700981
AN - SCOPUS:69749121622
VL - 29
SP - 547
EP - 551
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
SN - 0271-6798
IS - 6
ER -