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A 10-year-old boy was seen in the clinic because of pain in the upper portion of his right thigh. The pain had begun six months earlier and was made worse by walking and by exercise. His parents noticed a slight limp. He had not been playing sports because of the pain. The pain was relieved by lying down, but occasionally it awoke him from sleep. It was only slightly relieved by acetaminophen. He did not have fever, malaise, trauma, or other musculoskeletal pain.
At the age of 13 months, the patient had had a two-week episode of difficulty in walking;
Differential Diagnosis
Clinical Diagnosis
Dr. Mark C. Gebhardt's Diagnosis
Pathological Discussion
Discussion of Management
Surgical Treatment of Osteoid Osteoma
Radiofrequency Treatment of Osteoid Osteoma
Anatomical Diagnosis
Source Information
From the Department of Orthopedics, Beth Israel Deaconess Medical Center (M.C.G.); the Departments of Radiology (D.I.R.) and Pathology (P.M.A.), Massachusetts General Hospital; and the Departments of Orthopedic Surgery (M.C.G.), Radiology (D.I.R.), and Pathology (P.M.A.), Harvard Medical School — all in Boston.
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