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Osteoid osteoma of the elbow mimicking hemophilic arthropathy

Michel P J van den Bekerom1, Martijn A A van Hooft1, Denise Eygendaal1

  • 1Michel P J van den Bekerom, Department of Orthopaedic Surgery, OLVG, 1090 HM, Amsterdam, The Netherlands.

World Journal of Clinical Cases
|April 22, 2014
PubMed

A case of osteoid osteoma of the elbow in a patient with hemophilia A is described. This male patient presented with chronic and nocturnal pain of the left elbow which was alleviated with acetaminophen. Besides pain, he also complained of stiffness. Before these complaints, he had recurrent bleedings in the elbow because of hemophilia. A delayed diagnosis of osteoid osteoma in the proximal part of the left ulna was established by a bone scan and a multislice spiral computed tomography (CT) scan. The lesion was surgically removed under CT-guidance. The histopathological analyses did not show specific features of osteoid osteoma. Two months after the operation, the complaints decreased and the range of motion of the left elbow improved. A diagnosis of osteoid osteoma of the elbow should be considered in young adult patients with persistent elbow pain and histological confirmation is not always necessary.

Keywords:
DiagnosisElbowHemophiliaOsteoid osteomaSurgery

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