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Intra-articular Osteoid Osteoma of the Elbow: A Report of 10 Cases Treated With Open Surgery
Farid Najdmazhar1,2, Hooman Shariatzadeh1, Hosein Hamadiyan2
1Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Background:
Intra-articular osteoid osteoma of the elbow is very rare, and diagnosis is challenging.
Materials And Methods:
Ten patients with intra-articular osteoid osteoma of the elbow were treated with open surgery. Outcomes and postoperative surgical complications were evaluated.
Results:
The mean age of the patients was 20.9 ± 6.9 years. Before surgery, VAS for elbow pain was 5.4 ± 0.51. None of the patients had pain in the last follow-up (P < 0.001). Elbow ROM was 89 ± 32° before the operation and 130 ± 14° in the follow-up (P < 0.001). MEPS of the patients was 63.5 ± 7.8% before the operation and 97.5 ± 3.5 in the follow-up (P < 0.001). Three patients had limited elbow ROM in the last follow-up (range 15-35°). No local recurrence was recorded at a mean follow-up of 4.9 ± 2.8 years.
Conclusion:
Considering the small rate of postoperative complications and no local recurrence, open surgical resection could be regarded as a safe and efficient treatment for intra-articular osteoid osteoma of the elbow.
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