Medical history (history of illness) represents an important component in the diagnosis of osteoid osteoma. Family history Are there any diseases in your family that are common? (Tumor diseases) Social anamnesis Current medical history/systemic history (somatic and psychological complaints). Do you suffer from persistent or increasing pain in the skeletal system for which there is … Osteoid Osteoma: Medical History
Musculoskeletal system and connective tissue (M00-M99). Brodie abscess – form of hematogenous osteomyelitis (acute or chronic inflammation of bone and bone marrow) in childhood; pressure-painful swelling, often in the tibial (shin) region. Stress fracture Neoplasms – tumor diseases (C00-D48) Osteoblastoma – benign (benign) primary bone tumor arising from osteoblasts (bone-forming cells). Symptoms and abnormal clinical … Osteoid Osteoma: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by osteoid osteoma: Musculoskeletal system and connective tissue (M00-M99). Restricted mobility Incorrect load and joint misalignment, postural deformities (caused by the pain → avoidance behavior). When the osteoid osteoma is located near joints or growth plates: Osteoarthritis (joint wear). Scoliosis (lateral … Osteoid Osteoma: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Extremities: [swelling? Deformities of joints and bones? Sensory disturbances?] Spine, thorax (chest). Gait pattern (fluid, limping) Body or joint posture (upright, bent, gentle posture). Malpositions … Osteoid Osteoma: Examination
1st order laboratory parameters – obligatory laboratory tests. Biopsy (tissue sample), if necessary – to confirm the diagnosis.
Once an osteoid osteoma causes discomfort such as severe, boring pain, it must be resected (surgically removed).The challenge in the surgical procedure is hitting the nidus in the severe bone sclerosis. The nidus must be completely removed. It is responsible for the pain. The bone sclerosis is left behind. Damage to muscles, tendons, soft tissues … Osteoid Osteoma: Surgical Therapy
The following symptoms and complaints may indicate osteoid osteoma: Main symptoms Severe pain, especially at night, which also radiates to the surrounding area Often local pressure pain Swelling If the nidus (osteoblastic area surrounded by compacted bone) is intraarticular (in the joint capsule), the main symptom is arthritis (inflammation of the joint) Localization Typical of … Osteoid Osteoma: Symptoms, Complaints, Signs
Pathogenesis (disease development) Osteoid osteoma originates from osteoblasts (bone-forming cells) and thus is one of the osseous tumors. It consists of a small nidus (focus; a few mm to <1.5 cm) that contains the pathologic (diseased) cells. The nidus is a well-vascularized (vascularized/strongly vascularized), osteoblastic area. It is from this area that pain emanates, as … Osteoid Osteoma: Causes
General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea). Aim for normal weight! … Osteoid Osteoma: Therapy
Therapeutic targets Relief of pain Removal of the tumor – see “Surgical Therapy“. Healing Therapy recommendations Osteoid osteoma-related pain responds very well to nonsteroidal anti-inflammatory drugs (NSAIDs) such as salicylates, e.g., acetylsalicylic acid (“ASA-sensitive”). In half of the cases, a decrease in pain can be observed.Caution: Salicylates are not recommended for permanent medication due to … Osteoid Osteoma: Drug Therapy
Obligatory medical device diagnostics. Conventional radiograph of the affected body region, in two planes – to assess the extent of tumor growth; the osteoid osteoma appears as a round to oval brightening at the center of the compression Computed tomography (CT; sectional imaging procedure (X-rays taken from different directions with computer-based evaluation)) – for the … Osteoid Osteoma: Diagnostic Tests
