EC Orthopaedics

This article presents a comprehensive case study and literature review on osteoid osteoma of the semilunar bone. The rarity of this condition, coupled with its atypical clinical presentation as inflammatory monoarthritis, poses diagnostic challenges and delays proper treatment. Radiological diagnosis through CT scan and MRI is confirmed histologically. Surgical management, centered around radical curettage, offers complete healing and prevention of recurrences. Through a detailed examination of a case and a review of existing literature, this study sheds light on the clinical characteristics, diagnostic intricacies, and effective surgical approaches for this unique condition.

Keywords: Osteoid Osteoma; Lunate Bone; Curetting and Graft

1. Bonneviale P and et Ralhlac JJ. “Ostéome ostéoïde, ostéoblastome”. Encyclopé-die Médico-chirurgicale, Appareil locomoteur, Paris. Elsevier (2001): 1619.
2. Savorin C., et al. “L’ostéome ostéoïde du semi-lunaire (à propos d’un cas): intérêt de la tomodensito- métrie”. Annals of Clinical Radiology 34 (1999): 210-213.
3. Girard J., et al. “Ostéome ostéoïde de l’os trapézoïde; à propos d’un cas et revue de la literature”. Revue de Chirurgie Main 24 (2005): 35-38.
4. Mestdagh H., et al. “Les kystes synoviaux intraosseux du carpe”. Annales de Chirurgie de la Main 12 (1993): 275-280.
5. Lisanti M., et al. “Osteoid osteoma of the carpus. Case reports and a review of the literature”. Acta Orthopaedica Belgica4 (1996): 195-199.
6. Arazi M., et al. “Osteoid osteoma of the carpal bones”. Archives of Orthopaedic and Trauma Surgery 121 (2001): 119-120.
7. Calcagnotto G., et al. “Les kystes synoviaux intraosseux du semi-lunaire: problèmes diagnostiques”. Revue de Chirurgie Main 23 (2004): 17-23.
8. Rezgui-Marhoul ML., et al. “L’ostéome ostéoïde de l’os naviculaire tarsien: une localisation rare”. Revue de Chirurgie Orthopédique 89 (2003): 461-464.
9. Rosenthal DI., et al. “Osteoid osteoma: percutaneos treatement with radiofrequency energy”. Radiology1 (2003): 171-175.
10. Ayala AG., et al. “Osteoid osteoma: intraoperative tetracycline-fluorescence demonstration of the nidus”. Journal of Bone and Joint Surgery American5 (1986): 747-751.