Hutley Thomas E1, Sanville Philip2, Warren-Smith Clive D2
1 Southampton University, United Kingdom
2 Stepping Hill Hospital, Stockport, United Kingdom
Correspondence Address: Warren-Smith Clive DThe Old House, 12 Park Road, Cheadle Hulme, Cheshire, SK8 7DA United Kingdom
Osteoid osteoma is associated with chronic aching pain. A sclerotic ring and central nidus are the characteristic features on X-ray and CT scan. When these are absent, the diagnosis may be delayed. Juxta-articular lesions in particular may lack typical radiological features and delay in diagnosis may be associated with arthropathy, which may initially be reversible. We report the case of an osteoid osteoma of the elbow, which was exceptional in being associated with severe periscapular pain, as well as an exceptional delay in diagnosis. Both the elbow pain and the periscapular pain were temporarily relieved by aspirin and were permanently abolished with ablation of the elbow lesion. We recommend the use of early radioisotope scan and consideration of aspirin sensitivity, in recognising the diagnosis where typical radiological features are not present.
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