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Osteoid osteoma of the elbow
Authors:Richard P Moser Jr COL  MC  USA  Mark J Kransdorf LTC  MC  USA  Anne C Brower MD  Terry Hudson MD  Jun Aoki MD  B Hudson Berrey LTC  MC  USA  Donald E Sweet MD
Institution:(1) Department of Radiologic Pathology, Armed Forces Institute of Pathology, Washington, DC, USA;(2) Department of Orthopedic Pathology, Armed Forces Institute of Pathology, Washington, DC, USA;(3) Department of Radiology, Walter Reed Army Medical Center, Washington, DC, USA;(4) Department of Orthopedic Surgery, Walter Reed Army Medical Center, Washington, DC, USA;(5) Department of Radiology and Nuclear Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA;(6) Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA;(7) Department of Radiology, Penn State University, The Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA;(8) Department of Radiologic Pathology, Armed Forces Institute of Pathology, 20306-6000 Washington, DC, USA
Abstract:Six cases of osteoid osteoma of the elbow were reviewed to determine the spectrum of clinical, pathologic and radiologic findings. Since osteoid osteoma of the elbow may masquerade as a nonspecific synovitis, the diagnosis is challenging and frequently delayed. The histology is, however, indistinguishable from that of osteoid osteoma occurring in typical locations. The radiologic features of osteoid osteoma of the elbow include the following triad: (a) osteosclerosis, usually a dominant feature at initial imaging and typically enveloping the nidus; (b) joint effusion; and (c) periosteal reaction that can involve both the bone in which the osteoid osteoma arises and adjacent bones. Awareness of these features will facilitate correct diagnosis, thereby facilitating timely and appropriate treatment.The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army, the Department of Defense or the Uniformed Services University of the Health Sciences
Keywords:Bone neoplasm  Elbow  Osteoid osteoma  Osteoid osteoma of the elbow
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