Osteoid osteoma of the coronoid process causing flexion contracture of the elbow

• Published in: Acta orthopaedica et traumatologica turcica Vol. 43; no. 4; pp. 373 - 375
• Main Authors: Akman, Senol, Sönmez, Mesut Mehmet, Seçkin, Faik Mustafa, Ertürer, Ramazan Erden, Oztürk, Irfan
• Format: Journal Article
• Language: English; Turkish
• Published: Turkey 01-08-2009
• Subjects: Contracture - diagnostic imaging; Contracture - etiology; Elbow Joint - diagnostic imaging; Elbow Joint - pathology; Humans; Osteoma, Osteoid - complications; Osteoma, Osteoid - pathology; Osteoma, Osteoid - surgery; Pain - diagnostic imaging; Pain - etiology; Tomography, X-Ray Computed; Young Adult
• ISSN: 1017-995X
• DOI: 10.3944/AOTT.2009.373

Osteoid osteoma is one of the benign osteoblastic lesions that causes chronic pain. Diagnosis may be delayed in juxta-articular lesions in which characteristic radiographic findings may not be present, resulting in limited joint motion. A 23-year-old patient presented with a complaint of pain in the right elbow of one-year history. He sought medical treatment at another center and was prescribed non-steroidal anti-inflammatory treatment that resulted in significant pain relief; however, limitations of elbow motion ensued. On physical examination, there was pain in the antecubital part of the right elbow on palpation and a flexion contracture of 30 degrees. Findings of computed tomography and magnetic resonance imaging were consistent with osteoid osteoma. The lesion was excised and postoperative controls showed no flexion contracture.