Osteoid osteoma of the middle third of the radius (clinical case and literature review)

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Abstract

Osteoid osteoma is the 3rd most common benign osteogenic tumor characterized by the presence of an osteoid in the central nidus and an area of reactive osteosclerosis in the adjacent bone tissue. Disease pathogenesis is based on the production of prostaglandin E2 and prostacyclin in the nidus causing local inflammation, vasodilation and osteosclerosis stimulation which leads to pain syndrome which can be managed with nonsteroidal anti-inflammatory drugs. The main diagnosis methods for osteoid osteoma are X-rays and computed tomography allowing to identify the type of tumor: dense bone tissue lesion with distinct scalloped borders including the central zone (nidus) surrounded by sclerosis. The article presents a rare clinical case of diagnosis and treatment of osteoid osteoma of the middle third of the radius. Long diagnostic search due to atypical tumor location negatively affects the patient’s quality of life, requires long-term administration of nonsteroidal anti-inflammatory drugs.

About the authors

N. V. Abdiba

R.R. Vreden National Medical Research Center of Traumatology and Orthopedics, Ministry of Health of Russia

Author for correspondence.
Email: ninoabdiba@gmail.com
ORCID iD: 0000-0001-9152-5299

Nino Vazhaevna Abdiba

8 Akademika Baykova St., Saint Petersburg 195427

Russian Federation

A. P. Zavialov

R.R. Vreden National Medical Research Center of Traumatology and Orthopedics, Ministry of Health of Russia

ORCID iD: 0009-0000-6125-3149

8 Akademika Baykova St., Saint Petersburg 195427

Russian Federation

L. A. Rodomanova

R.R. Vreden National Medical Research Center of Traumatology and Orthopedics, Ministry of Health of Russia

ORCID iD: 0000-0003-2402-7307

8 Akademika Baykova St., Saint Petersburg 195427

Russian Federation

E. V. Weber

R.R. Vreden National Medical Research Center of Traumatology and Orthopedics, Ministry of Health of Russia

ORCID iD: 0000-0002-0212-925X

8 Akademika Baykova St., Saint Petersburg 195427

Russian Federation

A. O. Afanasev

R.R. Vreden National Medical Research Center of Traumatology and Orthopedics, Ministry of Health of Russia

ORCID iD: 0009-0003-6407-5888

8 Akademika Baykova St., Saint Petersburg 195427

Russian Federation

References

  1. Tepelenis K., Skandalakis G.P., Papathanakos G. et al. An updated review of epidemiology, pathogenesis, clinical presentation, radiological features, and treatment option. In Vivo 2021;35(4):1929–38. doi: 10.21873/invivo.12459
  2. Meyer J., Rolvien T., Reiter A. et al. Osteoid osteoma in the bones of the hand: a systematic literature review. Arc Orthop Trauma Surg 2023;143(8):5437–44. doi: 10.1007/s00402-023-04839-5
  3. De Ga K., Bateni C., Darrow M. et al. Polyostotic osteoid osteoma: a case report. Radiol Case Rep 2020;15(4):411–5. doi: 10.1016/j.radcr.2020.01.012
  4. Adlan A., Azzopardi C., Davies M. et al. Metachronous osteoid osteoma of the mid-diaphysis of the fibula and distal humerus: a case report. Indian J Radiol Imaging 2022;32(2):253–5. doi: 10.1055/s-0042-1744163
  5. Bludov A.B., Fedorova A.V., Zamogilnaya Ya. A. et al. Osteoid osteoma. Sarkomy kostei, miagkikh tkanei i opukholi kozhi = Bone and Soft Tissue Sarcomas, Tumors of the Skin 2015;(3):26–33. (In Russ.).
  6. Gubina E.V., Ryzhikov D.V., Revkovich A.S. et al. Surgical treatment of osteoid osteomas in children and adolescents. Pediatriya. Zhurnal im. G.N. Speranskogo. Pediatriya = Pediatrics. Journal named after G.N. Speransky 2018;97(2):117–21. (In Russ.).
  7. Park J., Park B. Epiphyseal intramedullary osteoid osteoma in the distal radius: a case report and literature review. Eur J Radiol Open 2021;8:100349. doi: 10.1016/j.ejro.2021.100349
  8. AlQahtani S.M., Albadran A.A., Altalib A. et al. Osteoid osteoma of the proximal humerus: a case report and literature review. Saudi J MedMedSci 2023;11(2):178–82. doi: 10.4103/sjmms.sjmms_350_22
  9. Shu M., Ke J. The surgical management of osteoid osteoma: a systematic review. Front Oncol 2022;12:935640. doi: 10.3389/fonc.2022.935640
  10. Themistocleous G.S., Chloros G.D., Benetos I.S. et al. Osteoid osteoma of the upper extremity. A diagnostic challenge. Chir Main 2006;25(2):69–76. doi: 10.1016/j.main.2006.02.001
  11. Basran S.S., Kumar S., Jameel J., Sajid I. Carpal tunnel syndrome: a rare manifestation of distal radius osteoid osteoma. J Clin Orthop Trauma 2015;6(3):190–4. doi: 10.1016/j.jcot.2015.03.002
  12. Noordin S., Allana S., Hilal K. et al. Osteoid osteoma: contemporary management. Orthoped Rev 2018;10(3):108–19. doi: 10.4081/or.2018.7496
  13. Worland R.L., Dick H.M. Osteoid-osteoma of the radius. Report of a case. Clin Orthop Relat Res 1975;106:189–91. doi: 10.1097/00003086-197501000-00029
  14. Gautam V.K., Pilare A.V., Jadav A.A., Chauhan T. Intra cortical osteoid osteoma in distal radial metaphysis: a rare case report. J Orthop Rep 2023;2(1):100107. doi: 10.1016/j.jorep.2022.100107
  15. Light J., Retrouvey M., Conran R.M. Educational case: osteoid osteoma. Acad Pathol 2021;8:23742895211060536. doi: 10.1177/2374289521106053
  16. Carneiro B.C., Da Cruz I.A.N., Ormond Filho A.G. et al. Osteoid osteoma: the great mimicker. Insights Imaging 2021;12(1):32. doi: 10.1186/s13244-021-00978-8
  17. Adil A., Hoeffel C., Fikry T. Osteoid osteoma after a fracture of the distal radius. Am J Roentgenol 1996;167(1):145–6. doi: 10.2214/ajr.167.1.8659359
  18. Deveci A. A case of osteoid osteoma in the distal radius epiphysis with atypical onset. Acta Orthop Traumatol Turc 2014;48(1):98–101. doi: 10.3944/AOTT.2014.2502
  19. Pfaff J., April M.D. Osteoid osteoma. J Emerg Med 2016;50(5):780–1. doi: 10.1016/j.jemermed.2016.01.005
  20. Susa M., Yamauchi K., Yamagishi M., Yabe Y. Rotational limitation of the forearm secondary to osteoid osteoma of the radius. J Rheumatol 2009;36(9):2131–2. doi: 10.3899/jrheum.090169
  21. Vishnevsky A.A., Tikhodeev S.A., Mikeltadze V.Z. Spinal osteoid osteoma diagnosis and treatment revisited. Khirurgiya pozvonochnika = Russian Journal of Spine Surgery 2010;4:65–7. (In Russ.). doi: 10.14531/ss2010.4.65-67
  22. Krishna S.V., Gupta S.K., Holla N., Chatterjee K. Resection of osteoid osteoma using three-dimensional (3D) printing. Ind J Orthop 2022;56(9):1657–61. doi: 10.1007/s43465-022-00689-2
  23. Napora J., Wałejko S., Mazurek T. Osteoid osteoma, a diagnostic problem: a series of atypical and mimicking presentations and review of the recent literature. J Clin Med 2023;12(7):2721. doi: 10.3390/jcm12072721
  24. Semenkin O.M., Izmalkov S.N., Solopikhina E.P. et al. Osteoid osteoma of the hamate as a cause of compression neuropathy of the ulnar nerve in guyon canal (case report). Travmatologiya i ortopediya Rossii = Traumatology and Orthopedics of Russia 2017;23(2):74–80. (In Russ.).
  25. Bottner F., Roedl R., Wortler K. et al. Cyclooxygenase-2 inhibitor for pain management in osteoid osteoma. Clin Orthop Relat Res 2001;(393):258–63. doi: 10.1097/00003086-200112000-00029
  26. De Filippo M., Russo U., Papapietro V.R. et al. Radiofrequency ablation of osteoid osteoma. Acta Biomed 2018;89(1-S):175–85. doi: 10.23750/abm.v89i1-S.7021

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Copyright (c) 2025 Abdiba N.V., Zavialov A.P., Rodomanova L.A., Weber E.V., Afanasev A.O.

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