Skip to main content
main-content

01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Musculoskeletal Disorders 1/2015

Hip arthroscopy for the management of osteoid osteoma of the acetabulum: a systematic review of the literature and case report

Zeitschrift:
BMC Musculoskeletal Disorders > Ausgabe 1/2015
Autoren:
Yousef A. Marwan, Sarantis Abatzoglou, Ali A. Esmaeel, Saad M. Alqahtani, Saleh A. Alsulaimani, Michael Tanzer, Robert E. Turcotte
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12891-015-0779-8) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contribution

YAM participated in designing and conducting the systematic review, analyzing the data, preparing data about the extra case, and drafting the manuscript. SA participated in preparing data about the extra case and drafting the manuscript. AAE participated in designing and conducting the systematic review and drafting the manuscript. SMA participated in preparing data about the extra case and drafting the manuscript. SAA participated in preparing data about the extra case and drafting the manuscript. MT participated in the patient's assessment and follow-up, performed the hip arthroscopy for the patient, and drafting the manuscript. RET participated in the patient's assessment and follow-up, drafting the manuscript, and supervised every step of the research. All authors read and approved the final manuscript.

Abstract

Background

Intra-articular osteoid osteoma (OO) causes irreversible joint damage. Its treatment of choice is radiofrequency ablation (RFA); however, some areas of the acetabulum are hard to access. Therefore, hip arthroscopy was used to treat this tumor. We aim to systematically review the literature with regards to arthroscopic management of acetabular OO, and to report a further case in which hip arthroscopy was used for treatment.

Methods

PubMed and EMBASE were searched for articles relevant to the arthroscopic management of acetabular OO on December 2, 2014. All articles published on and before that date were reviewed, and studies which met our pre-determined inclusion criteria were included. Articles screening and data abstraction were done by two reviewers independently. We also presented a 31-year-old man with acetabular OO who underwent hip arthroscopy for the management of his tumor after failing to respond to medications and computed tomography scan (CT)-guided RFA.

Results

The initial search revealed 14 studies, of which ten met our inclusion criteria. A total of ten patients underwent hip arthroscopy for the management of acetabular OO. Only two patients were females, and the patients' age ranged from 7 to 47 years. Two patients underwent arthroscopic guided-RFA of the lesion, while the rest underwent excision. The follow-up period ranged from 6 months to 2 years. Success rate was 100 %, and no recurrence was reported. Minor complications (transient impotence and perineal numbness) developed in one patient (10 %). Arthroscopic-guided RFA failed to eliminate the tumor in our additional case. A second trial of CT-guided RFA was successful in treating the patient's condition.

Conclusions

Hip arthroscopy is an effective and safe option for the management of acetabular OO, with success rate exceeding 90 %. Studies of higher level of evidence are required.
Zusatzmaterial
Additional file 1: Appendix 1. Search strategy. (DOC 46 kb)
12891_2015_779_MOESM1_ESM.doc
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2015

BMC Musculoskeletal Disorders 1/2015 Zur Ausgabe

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Orthopädie und Unfallchirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise