Related Experiment Video
Updated: Jun 30, 2026

08:07
Three-Dimensional Bone Extracellular Matrix Model for Osteosarcoma
Published on: April 12, 2019
Osteoid osteoma: a diagnostic problem
The Journal of Orthopaedic and Sports Physical Therapy
|January 1, 1983
Summary
Diagnosing osteoid osteoma, a benign bone tumor causing significant pain, can be challenging for physical therapists, especially after athletic injuries. Early surgical excision offers complete pain relief and eliminates the need for further physical therapy.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Musculoskeletal oncology
Background:
- Osteoid osteoma is a benign bone neoplasm causing significant pain and disability.
- Diagnosis can be difficult despite modern findings and classical pain patterns.
- Physical therapists should be aware of this condition, particularly in athletes.
Purpose of the Study:
- To highlight the diagnostic challenges of osteoid osteoma for physical therapists.
- To emphasize the importance of considering osteoid osteoma in patients with specific pain profiles.
- To advocate for surgical intervention as the definitive treatment.
Main Methods:
- Case presentation focusing on diagnostic difficulties.
- Review of classical clinical presentation and response to salicylates.
- Emphasis on the role of imaging in diagnosis and surgical planning.
Main Results:
- Osteoid osteoma, though benign, causes substantial pain and functional impairment.
- Diagnostic delays can occur despite advanced medical knowledge.
- Surgical excision provides complete symptom resolution.
Conclusions:
- Accurate and timely diagnosis of osteoid osteoma is crucial for effective patient management.
- Physical therapists play a role in identifying potential cases for further investigation.
- Surgical excision of the nidus is the gold standard treatment, ensuring complete recovery.
Related Concept Videos
Bone Cells and Tissue
Bones contain a relatively small number of cells entrenched in a matrix of organic and inorganic components. Although bone cells compose only a small amount of the bone volume, they are crucial to its function. Four types of cells are found within the bone tissue— osteoblasts, osteocytes, osteogenic cells, and osteoclasts.
Osteoblasts and Osteocytes
The osteoblast is the bone cell responsible for forming new bone tissue. It is found in the growing portions of bone, including the periosteum and...
Osteoblasts and Osteocytes
The osteoblast is the bone cell responsible for forming new bone tissue. It is found in the growing portions of bone, including the periosteum and...
Osteoclasts in Bone Remodeling
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...
Compact Bone
Most bones contain compact and spongy osseous tissue, but their distribution and concentration vary based on the bone's overall function.
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Gross Anatomy of Bone
The two main features of a long bone are the diaphysis and the epiphysis.
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...

