Intraoperative three-dimensional navigation for surgical treatment of osteoid osteoma in the upper extremity: A series of 19 cases

Ron Gurel, Kathrine Shehadeh, Etay Elbaz, Amit Benady, Shai Factor, Itay Ashkenazi, Yair Gortzak, Amir Sternheim, Solomon Dadia, Ortal Segal

Research output: Contribution to journalArticlepeer-review

Abstract

The surgical treatment for osteoid osteoma (OO) in the upper extremity is challenging due to the difficulty in locating the lesion and the crowding of sensitive structures within the anatomy. This study aimed to describe the outcomes of navigated minimally invasive radiofrequency ablation and those of navigated mini open-intralesional curettage in treating these lesions. Nineteen consecutive patients with OO in the upper limb who underwent navigated surgery were included. The average QuickDASH and Numeric Pain Rating Scale improved from 62.2 ± 23.7 to 11.7 ± 16.9 and from 8.1 ± 1.6 to 0.5 ± 1.8, respectively (p <.01 each) following the procedure. Two complications were recorded: one patient had persistent radial nerve palsy, and one patient had transient partial radial nerve weakness. In conclusion, navigation is an important tool in the surgical treatment of OO in the upper limb. A mini open approach to identify and protect neurovascular structures is recommended.

Original languageEnglish
JournalJournal of Orthopaedic Surgery
Volume31
Issue number3
DOIs
StatePublished - 1 Sep 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© The Author(s) 2023.

Keywords

  • intralesional curettage
  • navigation
  • nidus
  • osteoid osteoma
  • radiofrequency ablation

Fingerprint

Dive into the research topics of 'Intraoperative three-dimensional navigation for surgical treatment of osteoid osteoma in the upper extremity: A series of 19 cases'. Together they form a unique fingerprint.

Cite this