Brodie’s Abscess Following Radiofrequency Ablation of an Atypical Osteoid Osteoma
Autor: | Bipin Theruvil, Rajesh Antony, Julio Chacko Kandathil, Anush Rao, N. Nizaj, R Rashmi |
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Rok vydání: | 2020 |
Předmět: |
Osteoid osteoma
030222 orthopedics Brodie's abscess medicine.medical_specialty business.industry Radiofrequency ablation medicine.medical_treatment Penumbra Case Report 030229 sport sciences Ablation medicine.disease law.invention Lesion 03 medical and health sciences 0302 clinical medicine law Orthopedic surgery Medicine Orthopedics and Sports Medicine medicine.symptom business Abscess Nuclear medicine |
Zdroj: | Indian J Orthop |
ISSN: | 1998-3727 0019-5413 |
DOI: | 10.1007/s43465-020-00243-y |
Popis: | A 15 years old boy presented with an atypical osteoid osteoma (OO) in distal femur. He underwent radiofrequency ablation (RFA) elsewhere. He presented to our centre a year later with persisting pain. MR scan showed incomplete ablation of the nidus as there was only a single pass of the RF probe for a 14 mm long linear lesion. We also found penumbra sign and wall enhancement on contrast MRI suggestive of a Brodie’s abscess (BA). Under CT guidance the OO was drilled and BA was saucerised. Following this he was treated with culture sensitive antibiotics and his symptoms resolved. BA and OO are common differential diagnoses. RFA of OO leading to BA has not been reported in literature. Atypical linear OO requires multiple probe placements to ablate the long nidus. Diligent care should be taken to avoid intraoperative contamination in CT room which could lead to infection. |
Databáze: | OpenAIRE |
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