CASE REPORT  PEDIATRIC ORTHOPEDICS 

Minerva Ortopedica e Traumatologica 2019 March;70(1):47-58

DOI: 10.23736/S0394-3410.19.03903-1

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Anterior knee pain: a rare case of patellar osteoma osteoid

Giacomo RIVA ¹ ✉, Stefano POZZI ¹, Michele F. SURACE ¹, Luca MONESTIER ¹, Mario CHERUBINO ²

¹ Department of Traumatology and Orthopedic, Ospedale di Circolo, Macchi Foundation, University of Insubria, Varese, Italy; ² Department of Plastic Surgery, Ospedale di Circolo, Macchi Foundation, University of Insubria, Varese, Italy

Anterior knee pain (AKP) is one of the most common musculoskeletal disorders and may cause severe disability and discomfort in children and in adolescents. Its etiology is heterogeneous and includes all causes of pain in the anterior aspect of the knee. Amongst rare causes, there are patellar tumors; in this paper we reported a unique case of patellar osteoma osteoid. In literature, nature and treatment of iuxta-articular osteoma osteoid remain controversial: some authors believe that iuxta-articular osteomas could lead to permanent deformity and advocate an early surgical treatment. Other authors report spontaneous regressions, good response to nonsteroidal anti-inflammatory drugs (NSAIDs) e risk of iatrogenic damages. In this paper, we reviewed current treatment concepts in view of our therapeutic choices.

KEY WORDS: Osteoma, osteoid - Patella - Radiofrequency ablation