[Post-traumatic osteoid osteoma. Case report and review of the literature].
Osteoid osteoma is a painful benign bone neoplasm that is rarely described after trauma but should be suspected. A case of osteoid osteoma 19 years after a tibial fracture is presented. The patient had pain in the tibia for 6 years before the osteoid osteoma was confirmed. He had been operated on twice for suspected osteomyelitis although the clinical symptoms suggested an osteoid osteoma. The radiographic appearance as well as a bone scan confirmed the diagnosis. Removal of the nidus resulted in immediate pain relief. A precise preoperative diagnosis of the lesion based on clinical findings, standard radiographs, high-resolution CT, and bone scan is mandatory. It is important to recognize this uncommon entity to avoid morbidity associated with a prolonged delay in diagnosis.
Leonhardt
J
J
Unfallchirurgische Klinik, Medizinische Hochschule Hannover.
Bastian
L
L
Rosenthal
H
H
Laenger
F
F
Wippermann
B
B
D000328:Adult; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D010017:Osteoma, Osteoid / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D013977:Tibia / Q000473:pathology / Q000601:surgery*; D013978:Tibial Fractures / Q000601:surgery*; D014057:Tomography, X-Ray Computed