Najdmazhar Farid, Shariatzadeh Hooman, Hamadiyan Hosein, Hasasn Ahamad Ibrahim, Layeghi Abdorrasoul
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Adv Biomed Res. 2025 Jul 31;14:70. doi: 10.4103/abr.abr_56_24. eCollection 2025.
Intra-articular osteoid osteoma of the elbow is very rare, and diagnosis is challenging.
Ten patients with intra-articular osteoid osteoma of the elbow were treated with open surgery. Outcomes and postoperative surgical complications were evaluated.
The mean age of the patients was 20.9 ± 6.9 years. Before surgery, VAS for elbow pain was 5.4 ± 0.51. None of the patients had pain in the last follow-up ( < 0.001). Elbow ROM was 89 ± 32° before the operation and 130 ± 14° in the follow-up ( < 0.001). MEPS of the patients was 63.5 ± 7.8% before the operation and 97.5 ± 3.5 in the follow-up ( < 0.001). Three patients had limited elbow ROM in the last follow-up (range 15-35°). No local recurrence was recorded at a mean follow-up of 4.9 ± 2.8 years.
Considering the small rate of postoperative complications and no local recurrence, open surgical resection could be regarded as a safe and efficient treatment for intra-articular osteoid osteoma of the elbow.
肘关节关节内骨样骨瘤非常罕见，诊断具有挑战性。
10例肘关节关节内骨样骨瘤患者接受了开放手术治疗。评估了手术结果及术后手术并发症。
患者的平均年龄为20.9±6.9岁。术前肘关节疼痛的视觉模拟评分（VAS）为5.4±0.51。在最后一次随访时，所有患者均无疼痛（P<0.001）。术前肘关节活动度（ROM）为89±32°，随访时为130±14°（P<0.001）。患者术前的肌肉骨骼功能评定系统（MEPS）评分为63.5±7.8%，随访时为97.5±3.5%（P<0.001）。在最后一次随访时，3例患者的肘关节活动度受限（范围为15 - 35°）。平均随访4.9±2.8年，未记录到局部复发。
考虑到术后并发症发生率低且无局部复发，开放手术切除可被视为治疗肘关节关节内骨样骨瘤的一种安全有效的方法。
