Osteoid osteoma - humerus

Case contributed by Vitalii Rogalskyi
Diagnosis almost certain

Presentation

Constant shoulder pain, unable to fall asleep without analgesics

Patient Data

Age: 17 years
Gender: Male
ct

Local cortical lucent lesion (nidus) of the proximal humeral diaphysis with no calcifications. This lesion is surrounded by a prominent periosteal reaction.

Case Discussion

History and CT findings are consistent with the diagnosis of osteoid osteoma.

It is a benign bone tumor which usually occurs in the cortex of long tubular bones. Classically patients present with nocturnal pain which is relieved by aspirin.

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