Arthroscopic Management of Osteoid Osteoma of the Ankle Joint: A Systematic Review of the Literature

Publication date: Available online 23 March 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Susan M. Ge, Yousef Marwan, Abdullah Addar, Nizar Algarni, Ruth Chaytor, Robert E. TurcotteAbstractOsteoid osteomas (OOs) are rare benign bone tumors that may occur in various joints including the ankle. These tumors are generally removed via open surgical excision or radiofrequency ablation. However, when they occur intra-articularly, these treatments are more difficult to perform because of more difficult access and the increased risk of damaging articular cartilage. Therefore, some have advocated for the use of arthroscopy to treat these cases. This systematic review aims to investigate the safety and efficacy of arthroscopic treatment for intra-articular OO of the ankle. Using Medline and Embase, we systematically reviewed the literature as of May 31, 2017. All articles published on and before that date were reviewed by 2 independent reviewers. Seventeen articles containing a total of 27 cases were included in the review. Most reported cases were in the talar neck, followed by the distal tibia. Of all the cases, only 2 recurrences were reported (in the same patient), and no complications were reported. Therefore, these cases demonstrate arthroscopic excision of intra-articular OO of the ankle as a safe and effective alternative to open surgical excision and radiofrequency ablation, with a success rate of 96%. However, all articles found were case studies or small case s...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research