Osteoid osteoma of the foot and ankle--A systematic review.
Foot Ankle Surg
; 21(4): 228-34, 2015 Dec.
Article
em En
| MEDLINE
| ID: mdl-26564722
ABSTRACT
BACKGROUND:
Osteoid osteomas are responsible for 10% of benign bone tumours. Treatment typically involves surgical excision or radio frequency ablation. The aim of this systematic review is to evaluate reported cases of foot and ankle osteoid osteomas.METHODS:
We conducted a systematic review of the literature using the online databases Medline and EMBASE. We included studies reporting osteoid osteoma diagnosed either radiologically or histologically.RESULTS:
94 studies were included reporting 223 cases; 70.5% were male, mean age was 23 years, 69% reported night pain and 72% responded to NSAIDs. The commonest affected bone was the talus. CT scan was the most useful radiological investigation and MRI missed the diagnosis in 34% of cases. The majority of patients underwent surgical excision but an increasing trend of ablation therapy was demonstrated.CONCLUSIONS:
A high index of suspicion based on salient history and appropriate imaging are essential for timely identification and treatment.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Osteoma Osteoide
/
Neoplasias Ósseas
/
Pé
Tipo de estudo:
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article