Soft tissue recurrence of an osteoid osteoma: an exceptional observation.
Emilie WacheulThibaut LeemrijseChristine GalantJacques MalghemFrederic E LecouvetPublished in: Skeletal radiology (2020)
We report the observation of the soft tissue recurrence of an osteoid osteoma (OO) in a 26-year-old man initially complaining of post-traumatic pain and swelling of the right ankle. A first arthroscopic resection was performed after the misdiagnosis of "bone irregularities" observed on computed tomography (CT) and magnetic resonance imaging (MRI). The diagnosis of OO was made by histological analysis of the resection material. The patient became asymptomatic for 5 years until the symptoms progressively recurred. Follow-up MRI and CT studies demonstrated a nodular bony focus within the periarticular soft tissues of the ankle. The lesion was removed, and histological analysis confirmed the diagnosis of a whole viable OO. This observation likely resulted from the displacement of the initial lesion during the initial arthroscopic procedure. This case report highlights the possibility of recurrence of OO in the soft tissues.
Keyphrases
- contrast enhanced
- soft tissue
- magnetic resonance imaging
- computed tomography
- case report
- dual energy
- free survival
- magnetic resonance
- diffusion weighted imaging
- positron emission tomography
- image quality
- gene expression
- chronic pain
- rotator cuff
- pain management
- minimally invasive
- neuropathic pain
- depressive symptoms
- sleep quality
- spinal cord injury
- spinal cord
- physical activity
- case control