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Osteoma osteóide: distribución topográfica y características de imagen en niños y adultos
Dominik A Steffen1, Sinan Orkut2, Fabio D Steffen3
1Department of Interventional Radiology, University Hospital Strasbourg, 1 Place de L'hôpital, 67091, Strasbourg, France. dominik.steffen@ksw.ch.
La Radiologia medica
|February 11, 2026
Resumen
Los adultos con osteoma osteoide (OO) muestran menos características y ubicaciones de imágenes típicas que los niños. Reconocer estas diferencias relacionadas con la edad es crucial para diagnosticar el dolor musculoesquelético, particularmente los síntomas de las articulaciones.
Área de la Ciencia:
- Cirugía Ortopédica Cirugía ortopédica.
- Radiología Radiología.
- La ortopedia pediátrica es la ortopedia pediátrica.
Sus antecedentes:
- El osteoma osteóide (OO) es un tumor benigno formador de hueso.
- Comprender las variaciones relacionadas con la edad en la presentación de OO es vital para un diagnóstico y tratamiento precisos.
Objetivo del estudio:
- Para comparar la distribución topográfica y las características de imagen del osteoma osteoide (OO) entre pacientes pediátricos y adultos.
- Para identificar las diferencias clave en la localización de la lesión y los hallazgos de la TC/IRM/escintigrafía basados en el grupo de edad.
Principales métodos:
- Análisis retrospectivo de 315 pacientes que se sometieron a ablación térmica percutánea para OO.
- Creación de un atlas esquelético para mapear la distribución de OO en niños y adultos.
- Comparación de características demográficas, topográficas e imágenes entre cohortes pediátricas y adultas.
Principales resultados:
- Los adultos tenían una mayor tasa de OO intraarticular y espinal, mientras que los niños tenían más lesiones en las extremidades inferiores.
- Los osteomas osteoides en adultos fueron más pequeños y menos frecuentemente asociados con esclerosis perifocal, reacción periosteal, edema de la médula ósea y el signo vascular en comparación con los niños.
- Se observó una mayor proporción de pacientes femeninas en el grupo pediátrico.
Conclusiones:
- Los adultos con osteoma osteoideo presentan características de imagen menos típicas y en ubicaciones menos comunes en comparación con los niños.
- La conciencia de estas diferencias específicas de la edad es esencial para la evaluación efectiva del dolor musculoesquelético, especialmente los síntomas relacionados con las articulaciones.
- Estos hallazgos ayudan a los médicos a diferenciar la OO de otras causas de dolor en diferentes grupos de edad.
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