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Oncology - Case 41 (3rd ed)
Oncology - Case 41 (3rd ed)
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Pdf Summary
The document presents two study questions related to orthopedic conditions in young athletes. <strong>Study Question #1</strong> involves a 16-year-old male with persistent back pain, particularly at night, relieved by NSAIDs. An x-ray shows a circular lesion with surrounding sclerosis in the vertebral body. The correct answer identifies the lesion as an "osteoid osteoma," typically found in the tibial diaphysis. Osteoid osteomas are benign bone tumors recognized by their well-circumscribed radiographic appearance and are most common in the diaphysis of long bones, particularly the tibia. The initial management focuses on pain control with NSAIDs, which help by reducing prostaglandin levels and can decrease the lesion size. If conservative treatment fails, radio-frequency ablation is an option. <strong>Study Question #2</strong> concerns a 14-year-old hockey player with intermittent pain, swelling, and numbness in the left thigh and knee after trauma. An x-ray reveals a pedunculated mass on the lateral femoral condyle, consistent with an osteochondroma. The appropriate management, given the symptoms of nerve impingement, is surgical referral for removal. Although osteochondromas are typically benign and can be managed with protective padding and observation, the neurological symptoms necessitate surgical intervention due to potential peroneal nerve involvement. In summary, both cases discuss bone lesions in adolescents: an osteoid osteoma, requiring mainly symptomatic management with NSAIDs, and an osteochondroma, which may require surgical intervention if symptomatic nerve impingement occurs. These cases highlight the importance of proper diagnosis and treatment strategies in young athletes to prevent complications and ensure a return to activity.
Meta Tag
Edition
3rd Edition
Related Case
3rd Edition, CASE 41
Topic
Oncology
Keywords
osteoid osteoma
osteochondroma
young athletes
bone lesions
NSAIDs
radio-frequency ablation
surgical intervention
nerve impingement
benign tumors
orthopedic conditions
3rd Edition
3rd Edition, CASE 41
Oncology
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