Volume 174, Number 3, 97-99, DOI: 10.1007/BF03169159

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The Royal Academy of Medicine in Ireland

CT guided radiofrequency ablation of intra-articular osteoid osteoma of the hip

C. P. Cantwell, T. Scanlon, S. Dudeney, J. O’Byrne and S. Eustace

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Abstract

Background  

Osteoid osteoma is a painful benign bone tumour. Previously the standard therapy was surgical excision. Image guided radiofrequency ablation can be clinically applied to ablate the tumour in a minimally invasive manner.

Aims  

We present a case of an 18-year-old boy who presented with features of chronic left hip arthropathy secondary to intra-articular osteoid osteoma, subsequently successfully treated by percutaneous CT guided radiofrequency ablation.

Results  

The CT guided radiofrequency ablation was technically successful as a day case procedure without complication.The patient returned to normal function within one week. No recurrence occurred in the three-year follow-up period.

Conclusion  

Radiofrequency ablation is a safe, minimally invasive and effective tech nique for treatment of osteoid osteoma.

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