Keywords
Elbow
MonoArthritis
Nidus
How to Cite
Abstract
Osteoid osteoma is a rare benign osteoblastic tumor that mainly occurs in the extra-articular segments of lower limb long bones. The elbow is an exceptional location for osteoid osteoma.
The diagnosis is usually delayed since the elbow is a rare site for this tumor and unspecific clinical signs, such monoarthritis, may mimic other more common conditions.
We report the case of a 16-year-old girl who presented with chronic monoarthritis of the elbow which was treated falsely as tuberculous arthritis and monoarticular rheumatoid involvement.
The laboratory tests were negative. Computed tomography scan and magnetic resonance imaging showed the focal nidus at the coronoid process of the ulna with mild synovitis. The diagnosis of osteoid osteoma was not made until the disease had been progressing for eighteen months and the elbow had already become stiff.
Arthroscopic excision of the lesion was performed, and histopathology of the nidus was consistent with osteoid osteoma. Since then, the patient has been pain-free with an improved elbow range of motion.
References
Ditsios K, Papadakis N, Theodoroudis I, Kostretzis L, Konstantinou P, Pinto I, et al. A misguiding osteoid osteoma in the bicipital tuberosity of the radius. Case Reports in Orthopedics. 2016;2016:1–3. Available from: https://doi.org/10.1155/2016/6428137
Alrassasi YM, Almustafa MA, Al Eid ZM, Albattat MY, Al Batran KI. A rare case of intra-articluar osteoid osteoma of the elbow managed with arthroscopic excision. Cureus. 2021;13(6):e15666. Available from: https://doi.org/10.7759/cureus.15666
Savvidou OD, Koutsouradis P, Chloros GD, Papanastasiou I, Sarlikiotis T, Kaspiris A, et al. Bone tumours around the elbow: a rare entity. EFORT Open Reviews. 2019;4(4):133–142. Available from: https://doi.org/10.1302/2058-5241.4.180086
P MJ, Kandathil JC, Jalal MJA, Manuel E, Theruvil B. Osteoid osteoma masquerading monoarthritis of the elbow. Clinical Rheumatology. 2021:131. Available from: https://doi.org/10.1007/s10067-021-05883-5
Ge SM, Marwan Y, Abduljabbar FH, Morelli M, Turcotte RE. Arthroscopic management of intra- and juxta-articular osteoid osteoma of the upper extremity: a systematic review of the literature. European Journal of Orthopaedic Surgery & Traumatology. 2020;30(8):1333–1344. Available from: https://doi.org/10.1007/s00590-020-02710-6
Akpinar S, Circi E. Arthroscopic excision of an intra-articular osteoid osteoma in the elbow joint. BMJ Case Rep. 2017;2017:bcr2017220868. Available from: https://doi.org/10.1136/bcr-2017-220868
Bhatia DN. Arthroscopic excision of osteoid osteoma of the elbow. Arthroscopy Techniques. 2017;6(3):e543–e548. Available from: https://doi.org/10.1016/j.eats.2016.11.014
Özdemir B, Akpina S. Arthroscopic excision of intraarticular subperiosteal osteoid osteoma of talar neck: a case report. Jt Dis Relat Surg. 2020;31(3):639-643. Available from: https://doir.org/10.5606/ehc.2020.71830
Yano K, Kaneshiro Y, Sakanaka H. Arthroscopic excision for intra-articular osteoid osteoma of the olecranon fossa: a case report and literature review. Case Reports in Orthopedics. 2020;2020:1–6. Available from: https://doi.org/10.1155/2020/4034989
Carneiro BC, Da Cruz IAN, Ormond Filho AG, Silva IP, Guimarães JB, Silva FD, et al. Osteoid osteoma: the great mimicker. Insights into Imaging. 2021;12(1):32. Available from: https://doi.org/10.1186/s13244-021-00978-8
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.