Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Orthopaedic Surgery

Answer 4
  1. Percutaneous RFA. The femoral neck is the most common location for an osteoid osteoma. Computed tomography (CT)-guided localization and percutaneous RFA are often used to treat osteoid osteoma. RFA has a success rate of up to 90%, and several recent studies have documented the efficacy of RFA while also reporting decreased morbidity;2–4 however, appropriate facilities and trained staff are required. CT-guided localization and resection of the tumor or an en bloc excision are slightly more invasive, and there is the possibility of incomplete excision of the nidus. Radiation and chemotherapy are not indicated in the treatment of osteoid osteoma.

    2. Aboulafia AJ, Kennon RE, Jelinek JS. Benign bone tumors of childhood. J Am Acad Orthop Surg 1999;7:377-88.

    3. Kjar RA, Powell GJ, Schilcht SM, et al. Percutaneous radiofrequency ablation for osteoid osteoma: experience with a new treatment. Med J Aust 2006;184:563-5.

    4. Papagelopoulos PJ, Mavrogenis AF, Kyriakopoulos CK, et al. Radiofrequency ablation of intra-articular osteoid osteoma of the hip. J Int Med Res 2006;34:537-44.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 3/20/08 • nvf