Robert W Jordan1, Togay Koç2, Anna W P Chapman3, Heath P Taylor4. 1. Birmingham Heartlands Hospital, United Kingdom. Electronic address: Robert.jordan@doctors.org.uk. 2. Southampton General Hospital, United Kingdom. 3. Birmingham Heartlands Hospital, United Kingdom. 4. Royal Bournemouth Hospital, United Kingdom.
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.
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.
Authors: Maria A Smolle; Magdalena M Gilg; Felix Machacek; Miroslav Smerdelj; Per-Ulf Tunn; Blaz Mavcic; Nenad Lujic; Jelena Sopta; Lauris Repsa; Jasminka Igrec; Andreas Leithner; Marko Bergovec Journal: Wien Klin Wochenschr Date: 2021-11-04 Impact factor: 2.275