The Teaching Point

On radiography and CT, intra-articular osteoid osteoma typically will not have periosteal reaction and will only have minimal, if any, surrounding sclerosis. These features make the lesion more difficult to diagnose than the classic cortical osteoid osteoma. Therefore, this diagnosis should be added to the differential in the case of a focal subchondral lucency in the appropriate patient population.






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From the manuscript

Intra-articular osteoid osteoma at the femoral trochlea treated with osteochondral autograft transplantation

Free full text article: Intra-articular osteoid osteoma at the femoral trochlea treated with osteochondral autograft transplantation

Abstract
We present the case of an intra-articular osteoid osteoma at the femoral trochlea. Intra-articular osteoid osteoma can present a diagnostic challenge both clinically and with imaging because it presents differently from the classic cortical osteoid osteoma. Given the lesion's proximity to overlying cartilage, the patient underwent resection of the lesion with osteochondral autograft transplantation at the surgical defect. A comprehensive literature review and discussion of intra-articular osteoma will be provided.






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