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Updated: May 13, 2026

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Acetabular osteoid osteoma excision by controlled hip dislocation: a case report.

Oscar de Los Santos1, Paola Filomeno, Rogelio Rey

  • 1University Clinic of Traumatology and Orthopaedics, Faculty of Medicine, University of the Republic, Montevideo, Uruguay. oscardlsm@gmail.com

Journal of Pediatric Orthopedics. Part B
|March 7, 2013
PubMed
Summary

Osteoid osteoma in the hip socket is rare. A novel surgical technique using controlled hip dislocation and a gamma probe successfully removed the tumor in a pediatric patient.

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Oncology
  • Musculoskeletal Oncology

Background:

  • Osteoid osteoma is a benign bone tumor that can cause significant pain.
  • Acetabular osteoid osteoma presents unique surgical challenges due to its location.
  • Effective treatment strategies for acetabular osteoid osteoma are limited.

Observation:

  • A 12-year-old boy presented with symptoms consistent with acetabular osteoid osteoma.
  • Diagnosis was confirmed via imaging and subsequent pathology.
  • The tumor was located within the acetabulum, complicating surgical access.

Findings:

  • A minimally invasive surgical approach was employed, involving controlled hip dislocation.
  • A gamma probe was utilized to precisely guide the excision of the osteoid osteoma.

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  • Complete tumor removal was achieved with this technique.

    • Implications:

    • This case demonstrates a successful and potentially less invasive treatment option for acetabular osteoid osteoma.
    • The combined technique of controlled hip dislocation and gamma probe guidance offers a viable solution for challenging tumor excisions.
    • Further research may explore the broader applicability of this surgical approach in similar cases.