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Article

Intra- and Juxta-Articular Osteoid Osteoma Mimicking Arthritis: Case Series and Literature Review

by
Adele Civino
1,*,
Federico Diomeda
1,
Luca Giordano
2,
Maria Beatrice Damasio
3,
Sandra Perrone
4,
Romina Gallizzi
5,
Angelo Ravelli
6,7,
Prisco Piscitelli
8,9,† and
Maria Cristina Maggio
10,†
1
Pediatric Rheumatology and Immunology Unit, “Vito Fazzi” Hospital, 73100 Lecce, Italy
2
Department of Radiology, “Vito Fazzi” Hospital, 73100 Lecce, Italy
3
Department of Radiology, IRCCS Istituto Giannina Gaslini, 16147 Genova, Italy
4
Department of Radiology, “Cardinale G. Panico” Hospital, 73039 Tricase, Italy
5
Pediatric Unit, Department of Health Science, Magna Grecia University of Catanzaro, 88100 Catanzaro, Italy
6
Scientific Direction, IRCCS Istituto Giannina Gaslini, 16147 Genova, Italy
7
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics and Maternal-Infantile Sciences (DiNOGMI), University of Genova, 16147 Genova, Italy
8
Department of Biological and Environmental Sciences and Biotechnologies, University of Salento, 73100 Lecce, Italy
9
Health Authority, ASL LE, 73100 Lecce, Italy
10
Department Pro.Sa.M.I., University of Palermo, 90133 Palermo, Italy
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Children 2023, 10(5), 829; https://doi.org/10.3390/children10050829
Submission received: 6 April 2023 / Revised: 26 April 2023 / Accepted: 28 April 2023 / Published: 2 May 2023
(This article belongs to the Special Issue State of the Art and Recent Advances in Pediatric Rheumatology)
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Abstract

Background: Intra- and juxta-articular osteoid osteomas are rare, representing less than 10% of all osteomas. Compared to the classic diaphyseal or metaphyseal site of long bones, they often have an atypical onset, a longest diagnostic delay, and frequent initial misdiagnoses, with pictures that can mimic inflammatory monoarthritis. We aimed to describe a case series, and to provide a literature review of this uncommon and misleading tumor location. Methods: We performed a retrospective analysis of patients referred to three pediatric rheumatology centers, with a final diagnosis of articular osteoid osteoma. A review of the literature was additionally conducted. Results: We included 10 patients with a mean age of 14 years. All patients with unusual sites (olecranon fossa, lumbar vertebra, distal phalanx of the toe, fibula) had a misdiagnosis, and cases with initial suspicion of monoarthritis had the longest diagnostic delay, up to 24 months. The literature review confirms the significant risk of misdiagnosis, and an average time from symptom onset to diagnosis ranging from 0.4 to 1.8 years. Conclusions: Articular osteoid osteoma may mimic arthritis, especially in adolescence. Knowledge of the atypical forms of presentation, and of the clinical and radiological pitfalls, reduces the risk of diagnostic error.
Keywords: osteoid osteoma; arthritis; child; joint pain; synovitis; juvenile idiopathic arthritis; rheumatic diseases; bone tumor; imaging; diagnosis osteoid osteoma; arthritis; child; joint pain; synovitis; juvenile idiopathic arthritis; rheumatic diseases; bone tumor; imaging; diagnosis

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MDPI and ACS Style

Civino, A.; Diomeda, F.; Giordano, L.; Damasio, M.B.; Perrone, S.; Gallizzi, R.; Ravelli, A.; Piscitelli, P.; Maggio, M.C. Intra- and Juxta-Articular Osteoid Osteoma Mimicking Arthritis: Case Series and Literature Review. Children 2023, 10, 829. https://doi.org/10.3390/children10050829

AMA Style

Civino A, Diomeda F, Giordano L, Damasio MB, Perrone S, Gallizzi R, Ravelli A, Piscitelli P, Maggio MC. Intra- and Juxta-Articular Osteoid Osteoma Mimicking Arthritis: Case Series and Literature Review. Children. 2023; 10(5):829. https://doi.org/10.3390/children10050829

Chicago/Turabian Style

Civino, Adele, Federico Diomeda, Luca Giordano, Maria Beatrice Damasio, Sandra Perrone, Romina Gallizzi, Angelo Ravelli, Prisco Piscitelli, and Maria Cristina Maggio. 2023. "Intra- and Juxta-Articular Osteoid Osteoma Mimicking Arthritis: Case Series and Literature Review" Children 10, no. 5: 829. https://doi.org/10.3390/children10050829

APA Style

Civino, A., Diomeda, F., Giordano, L., Damasio, M. B., Perrone, S., Gallizzi, R., Ravelli, A., Piscitelli, P., & Maggio, M. C. (2023). Intra- and Juxta-Articular Osteoid Osteoma Mimicking Arthritis: Case Series and Literature Review. Children, 10(5), 829. https://doi.org/10.3390/children10050829

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