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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2018; 46(01): 046-051
DOI: 10.1055/s-0038-1639511
Case Report | Caso Clínico
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Osteoma osteoide, causa inusual de dolor de muñeca

Osteoid osteoma, Unusual Cause of Wrist Pain
Teresa María Beteta Robles
1   Servicio Traumatología, Hospital Universitario Puerta de Hierro Majdahonda, Madrid, España
,
Angel García Olea
2   Unidad de cirugía de la mano, Traumatología, Hospital Univeritario Puerta de Hierro Majadahonda, Madrid, España
,
Luz Maria Moran Blanco
3   Unidad radiología musculoesquelética, Hospital Univeritario Puerta de Hierro Majadahonda, Madrid, España
› Author Affiliations
Further Information

Publication History

28 April 2017

08 February 2018

Publication Date:
10 April 2018 (online)

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Resumen

Presentamos el caso de una mujer joven con dolor en muñeca de meses de evolución. Las pruebas de imagen que se le realizan no son concluyentes. La clínica nos hace sospechar en el OO como posible diagnostico por lo que se realiza una TC que pone de manifiesto la presencia del nidus. Siguiendo el protocolo de nuestro servicio, se decide como tratamiento la ablación percutánea por radiofrecuencia. La mejoría clínica es inmediata. Aunque la mayoría de los OO son de diagnóstico sencillo, siguen presentándose algunos casos, como el del paciente expuesto, cuyas localizaciones peculiares o tamaño pequeño pueden producir errores o retrasos en el diagnostico.

Abstract

We present the case of a young woman with pain in the wrist of months of evolution. The imaging studies did not show pathology.The symptoms makes us suspect in the OO as possible diagnosis. A CT is made, and shows The presence of the nidus. Following the protocol of our service, percutaneous radiofrequency ablation is decided as a treatment. Clinical improvement is immediate. Although most of the OOs are easy to diagnose, there are still some cases, such as the exposed patient, whose peculiar place or small size can cause errors or delays in the diagnosis.

Palabras Clave

osteoma osteoide - dolor - muñeca

Keywords

osteoid osteoma - pain - wrist
 

  • Bibliografía

  • 1 Frassica FJ, Waltrip RL, Sponseller PD, Ma LD, McCarthy Jr EF. Clinicopathologic features and treatment of osteoid osteoma and osteoblastoma in children and adolescents. Orthop Clin North Am 1996; 27 (03) 559-574
    CrossrefPubMedGoogle Scholar
  • 2 Moberg E. The natural course of osteoid osteoma. J Bone Joint Surg Am 1951; 33 A (01) 166-170
    CrossrefPubMedGoogle Scholar
  • 3 Herrlin K, Ekelund L, Lövdahl R, Persson B. Computed tomography in suspected osteoid osteomas of tubular bones. Skeletal Radiol 1982; 9 (02) 92-97
    CrossrefPubMedGoogle Scholar
  • 4 Giombini A, Dragoni S, Averna T, Ripani M, Longo UG, Maffulli N. Osteoid osteoma mimicking overuse syndromes in athletes. J Sports Med Phys Fitness 2009; 49 (02) 167-170
    PubMedGoogle Scholar
  • 5 Sim FH, Dahlin CD, Beabout JW. Osteoid-osteoma: diagnostic problems. J Bone Joint Surg Am 1975; 57 (02) 154-159
    CrossrefPubMedGoogle Scholar
  • 6 Kneisl JS, Simon MA. Medical management compared with operative treatment for osteoid-osteoma. J Bone Joint Surg Am 1992; 74 (02) 179-185
    CrossrefPubMedGoogle Scholar
  • 7 Kitsoulis P, Mantellos G, Vlychou M. Osteoid osteoma. Acta Orthop Belg 2006; 72 (02) 119-125
    PubMedGoogle Scholar
  • 8 Bisbinas I, Georgiannos D, Karanasos T. Wide surgical excision for osteoid osteoma. Should it be the first-choice treatment?. Eur J Orthop Surg Traumatol 2004; 14 (03) 151-154
    PubMedGoogle Scholar
  • 9 Jaffe HL. Osteoid-osteoma. A benign osteoblastic tumor composed of osteoid and atypical bone. Arch Surg 1935; 31: 709-728
    CrossrefPubMedGoogle Scholar
  • 10 Martel Villagrán J, Bueno Horcajadas A, Ortiz Cruz EJ. [Percutaneous radiofrequency ablation of benign bone tumors: osteoid osteoma, osteoblastoma, and chondroblastoma]. Radiologia 2009; 51 (06) 549-558
    CrossrefPubMedGoogle Scholar
  • 11 Rosenthal DI, Alexander A, Rosenberg AE, Springfield D. Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure. Radiology 1992; 183 (01) 29-33
    CrossrefPubMedGoogle Scholar
  • 12 Rosenthal DI, Springfield DS, Gebhardt MC, Rosenberg AE, Mankin HJ. Osteoid osteoma: percutaneous radio-frequency ablation. Radiology 1995; 197 (02) 451-454
    CrossrefPubMedGoogle Scholar
  • 13 McGrath BE, Bush CH, Nelson TE, Scarborough MT. Evaluation of suspected osteoid osteoma. Clin Orthop Relat Res 1996; (327) 247-252
    PubMedGoogle Scholar