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En bloc resection of coracoid base osteoid osteoma in a child : an extremely rare case
Joint Authors
Gharahdaghi, Muhammad
Shurin, Hasan Rahimi
Parsa, Ali
Assadian, Maryam
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 15, Issue 11 (30 Nov. 2013)8 p.
Publisher
Publication Date
2013-11-30
Country of Publication
United Arab Emirates
No. of Pages
8
Main Subjects
Topics
Abstract EN
Background : Osteoid osteomas account for approximately 2-3 % of all primary bone neoplasm's sampled for biopsy.
50 % of all of them occur in the long bones of the lower extremities, but osteoid osteoma of the coracoid process is rare.
We have found only nine previously reported cases of coracoid osteoid osteoma in the international literature.
We report a child with coracoid base osteoid osteoma.
Case presentation : A twelve years old boy with a persistent pain at the right shoulder since 9 months ago, were evaluated.
His pain relatively responds to non-steroidal antiinflammatory drugs (NSAIDs).
Imaging studies showed foci of sclerosis at right coracoid base with increased uptake on the Technetium-99m study.
Because proximity to the neurovascular bundle we couldn`t use radiofrequency ablation technique, so the patient underwent open surgery with a mini- deltopectoral approach and two level osteotomies ; one proximal to coracoid tip and the other at the base of coracoid just distal to subcoracoid physeal line.
Then a segment of coracoid resected.
Tip of coracoid securely reattached with a screw.
Conclusions : To our knowledge in the literature up to now there are only nine reports of coracoid osteoid osteoma.
These cases were treated with different approaches and different techniques.
We used en-bloc resection via mini-anterior approach.
Our patient 30 months after surgery (October 2012) have full range of motion and became pain free since wound healing with normal control imaging.Definite diagnosis of osteoid osteoma in the uncommon sites may be delayed.
En bloc resection of tumor with two osteotomies by an anterior approach has been limited soft tissue injury and is a reliable method of treatment.
American Psychological Association (APA)
Gharahdaghi, Muhammad& Shurin, Hasan Rahimi& Parsa, Ali& Assadian, Maryam. 2013. En bloc resection of coracoid base osteoid osteoma in a child : an extremely rare case. Iranian Red Crescent Medical Journal،Vol. 15, no. 11.
https://search.emarefa.net/detail/BIM-343131
Modern Language Association (MLA)
Gharahdaghi, Muhammad…[et al.]. En bloc resection of coracoid base osteoid osteoma in a child : an extremely rare case. Iranian Red Crescent Medical Journal Vol. 15, no. 11 (2013).
https://search.emarefa.net/detail/BIM-343131
American Medical Association (AMA)
Gharahdaghi, Muhammad& Shurin, Hasan Rahimi& Parsa, Ali& Assadian, Maryam. En bloc resection of coracoid base osteoid osteoma in a child : an extremely rare case. Iranian Red Crescent Medical Journal. 2013. Vol. 15, no. 11.
https://search.emarefa.net/detail/BIM-343131
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-343131