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.
Department of Orthopedics and Trauma Surgery, Afyon Kocatepe University, School of Medicine, Afyon, Turkey. levent_altinel@hotmail.com
Levent
L
Altinel
Bumin
B
Degirmenci
Kamil Cagri
KC
Kose
Onder
O
Sahin
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