Table 1.
Age (yr)/gender
|
Side
|
Symptoms
|
Pain alleviating on NSAIDs
|
Duration of symptoms until the accurate diagnosis (mo)
|
Trauma history
|
Location
|
Diagnostic imaging
|
Arthroscopic portals
|
HPA confirmed osteoid osteoma
|
Follow-up (mo)
|
Recurrence
|
16/F | L | Persistent knee pain worsening at night | Yes | 15 | Yes | Anterolateral part of the femur above the cartilage border of the trochlea | CT, bone scan | AM, AL, SL | Yes | 171 | No |
23/M | L | Persistent knee pain worsening in activity and at night | Partially | 24 | No | Anteromedial part of the femur on the cartilage border of the trochlea | MRI (2)1, bone scan | AM, AL | Yes | 24 | No |
17/F | L | Persistent knee pain worsening in activity and at night | Yes | 6 | No | Anterolateral part of the femur above the cartilage border of the trochlea | MRI, CT | AM, AL, SL | Yes | 55 | No |
37/F | R | Persistent knee pain and swelling | Yes | 12 | No | Posterior aspect of the lateral femoral condyle | MRI, CT, bone scan | AM, AL, PM, PL | Yes | 24 | No |
Patient had a first magnetic resonance imaging (MRI) performed, after which another physician performed an open biopsy at our department. As the symptoms persisted over the course of 10 mo, the patient was referred to the senior author to re-evaluate the case. After detailed analysis, the senior author suspected of intra-articular osteoid osteoma (iaOO) of the knee and issued a bone scan and a follow-up MRI, which confirmed the diagnosis of iaOO of the knee. NSAIDs: Non-steroidal anti-inflammatory drugs; HPA: Histopathologic analysis; F: Female; M: Male; CT: Computerized tomography; MRI: Magnetic resonance imaging; AM: Anteromedial; AL: Anterolateral; SL: Superolateral; PM: Posteromedial; PL: Posterolateral.