Goyal Saumitra, Said Hatem Galal
Assiut Arthroscopy & Sports Injuries Unit, Orthopaedic & Traumatology Department, Assiut University Assiut 71515 Egypt.
SICOT J. 2015 Jul 10;1:17. doi: 10.1051/sicotj/2015016.
Osteoid osteoma (OO) of the coracoid is a rare entity that may present with variable symptoms from shoulder leading to delay in diagnosis and treatment. We present the clinical and radiological findings and management of one such case along with a review of similar cases reported in the literature. There was a delay of 2 years in diagnosis, which was later confirmed by computed tomography in addition to magnetic resonance imaging (MRI). The lesion was accessed arthroscopically and excised by unroofing and curettage. "OO" should be included in the differential diagnosis of shoulder pain in young patients not responding to long-term conservative treatment. Arthroscopic excision and curettage provide a good choice for management, with low morbidity and rapid recovery.
喙突骨样骨瘤(OO)是一种罕见的疾病,可能表现出从肩部开始的各种症状,导致诊断和治疗延迟。我们介绍了这样一例病例的临床和影像学表现及治疗情况,并回顾了文献中报道的类似病例。该病例诊断延迟了2年,后来通过计算机断层扫描以及磁共振成像(MRI)得以确诊。通过关节镜检查进入病变部位,并采用掀盖刮除术将其切除。对于长期保守治疗无效的年轻肩部疼痛患者,鉴别诊断应包括“OO”。关节镜下切除和刮除术是一种治疗的良好选择,具有低发病率和快速恢复的特点。