Bone Pathology Database

Teaching Version


Text in Italics is general (instructional) information

Return to base page

2nd image
X Ray

The lesion was curetted. Histology confirmed the nidus of an osteoid osteoma.
The patient must be asked about sporting activities. A stress fracture especially in this region of the tibia (a high stress area) is common, even in children of this age.
Xray features of Osteoid Osteoma
The four diagnostic features include (1) a sharp round or oval lesion that is (2) less than 2 cm in diameter, (3) has a homogeneous dense center and (4) a 1-2 mm peripheral radiolucent zone.' Treatment may be medial - Asprin in the classical drug that relieves pain or Surgical. To be successful the nidus (central area) must be completely removed.

See case of stress fracture

Record 98