Percutaneous resection of a patellar osteoid osteoma using a cannulated skin punch biopsy needle.
Patella is a very rare localization for osteoid osteoma. Non-specific knee complaints and difficulty to distinguish nidus in direct radiographs may cause a delay in diagnosis and make the definite diagnosis troublesome. The most effective and non-invasive method in treatment of osteoma is CT guided excision of the nidus. We present a case of patellar osteoid osteoma diagnosed by MRI scans. After being marked under CT guidance, the lesion was completely excised with a skin punch. We propose that, this method is both minimal invasive and effective in the management of patellar osteoid osteoma.
Altinel
Levent
L
Department of Orthopedics and Trauma Surgery, Afyon Kocatepe University, School of Medicine, Afyon, Turkey. levent_altinel@hotmail.com
Degirmenci
Bumin
B
Kose
Kamil Cagri
KC
Sahin
Onder
O
D018771:Arthralgia / Q000209:etiology; D001706:Biopsy / Q000295:instrumentation*; D001859:Bone Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D010017:Osteoma, Osteoid / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D010329:Patella / Q000473:pathology / Q000601:surgery*; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed