A Rare Cause of Anterior Knee Pain in a Young Athlete and a Delayed Diagnosis: Osteoid Osteoma of the Patella.

Autor: Papagrigorakis E; Orthopaedics, KAT Trauma Hospital, Athens, GRC., Benetos IS; Orthopaedics, University of Athens, KAT Trauma Hospital, Athens, GRC., Bakalakos M; Orthopaedics, University of Athens, KAT Trauma Hospital, Athens, GRC., Rozis M; Orthopaedics, University of Athens, KAT Trauma Hospital, Athens, GRC., Pneumaticos S; Orthopaedics, National and Kapodistrian University of Athens, KAT Hospital, Athens, GRC.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2019 Dec 19; Vol. 11 (12), pp. e6420. Date of Electronic Publication: 2019 Dec 19.
DOI: 10.7759/cureus.6420
Abstrakt: Intra-articular osteoid osteomas are a rare cause of articular pain. Their diagnosis can be challenging due to their non-specific clinical presentation and imaging characteristics. We present the case of a young soccer player with a 12-month history of anterior knee pain that was first attributed to Sinding Larsen Johansson syndrome and then to Hoffa's syndrome. A CT scan was performed that revealed the localization of an osteoid osteoma of the patella. The patient was successfully treated by percutaneous radiofrequency ablation under CT guidance without complications and returned to full sports activity. Although a rare entity, osteoid osteoma of the patella with its atypical clinical features could be included in the differential diagnosis of persistent anterior knee pain in the young adult. High clinical suspicion is necessary to avoid delay in diagnosis and irrelevant procedures for the patient.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2019, Papagrigorakis et al.)
Databáze: MEDLINE