Arthroscopic excision as a viable treatment for intra-articular osteoid osteoma in the proximal humerus: A case report

JOS Case Reports Pub Date : 2024-09-01 Epub Date: 2024-04-12 DOI:10.1016/j.joscr.2024.03.004
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Abstract

Background

Osteoid osteoma (OO) is rare in the intra-articular region of the proximal humerus. Although computed tomography-guided radiofrequency ablation is recognized as a useful treatment option, arthroscopic excision has recently been considered an alternative for intra-articular lesions.

Case presentation

We report the case of a 21-year-old man who underwent arthroscopic treatment for intra-articular OO in the proximal humerus. The patient presented with shoulder pain that exacerbated at night, which was diagnosed as intra-articular OO six months after symptom onset. Twelve months postoperatively, the patient had no recurrence of shoulder pain.

Conclusions

Based on the findings in this case, intra-articular OO should be considered as a differential diagnosis in young individuals with shoulder pain, and arthroscopic excision as a treatment option for intra-articular OO in the proximal humerus.

关节镜下切除术是治疗肱骨近端关节内类骨瘤的可行方法:病例报告
背景类骨瘤(OO)在肱骨近端关节内区域较为罕见。尽管计算机断层扫描引导下的射频消融被认为是一种有效的治疗方法,但最近关节镜切除术被认为是关节内病变的一种替代方法。患者表现为肩部疼痛,夜间疼痛加剧,症状出现 6 个月后被诊断为关节内 OO。结论根据本病例的研究结果,对于肩部疼痛的年轻人,应将关节内OO作为鉴别诊断,并将关节镜切除术作为肱骨近端关节内OO的治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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