Professional paper

Late diagnosis of intraarticular osteoid osteoma treated as hip osteoarthritis - case report and review of the literature

Nadica Laktašić-Žerjavić ; Clinic for Rheumatic Diseases and Rehabilitation, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Kristina Potočki ; Clinical Department for Diagnostic and Interventional Radiology, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Maja Prutki ; Clinical Department for Diagnostic and Interventional Radiology, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Božidar Ćurković ; Clinic for Rheumatic Diseases and Rehabilitation, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Đurđica Babić-Naglić ; Clinic for Rheumatic Diseases and Rehabilitation, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Dragica Soldo-Jureša ; Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine, Clinical Hospital “Dubrava”, Zagreb, Croatia

Abstract

A 34-year old men with left hip pain caused by intraarticular osteoid osteoma localized in the left femoral head is described. He was treated as a hip osteoarthritis for one year before the accurate diagnosis was established. Magnetic resonance imaging showed lesion indicating osteoid osteoma. Accurate diagnosis was established based on typical appearance of the osteoid osteoma on the computed tomography (CT). Osteoid osteoma rarely occures after 30 years of age and intraarticular locallisation is uncommon. This case report pinpoints the importance of careful analysis of monoarticular pain in order to avoid the possibile misdiagnosis of osteoid osteoma especially in young adult with an isolated osteoarthritis feature on the conventional radiography and normal laboratory findings. CT is specific and sensitive imaging modality for diagnosis of osteoid osteoma.

Keywords

osteoid osteoma; hip pain; monoarthritis; osteoarthritis; computed tomography

Hrčak ID:

125887

URI

https://hrcak.srce.hr/125887

Publication date:

1.7.2006.

Article data in other languages: croatian

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