Research Article | DOI: https://doi.org/12.61148/josr.26.001

A 9-year-Old boy Presented to Our Hospital with Chronic Pain in the Left Knee of Two Years Duration

  • Mir Tariq Altaf *

Mir Tariq Altaf 
Department of Orthopaedics, Tamil Nadu, India

*Corresponding Author: Mir Tariq Altaf

Citation: Citation: M T Altaf, A 9-year-old boy presented to our hospital with chronic pain in the left knee of
two years duration, Journal of Orthopaedic Surgery and Research, ACP Publishers, 1(1).

Copyright : Copyright © All rights are reserved by Mir Tariq Altaf

Received: 20 March 2026 | Accepted: 15 April 2026 | Published: 24 April 2026

Keywords: chronic pain

Dr. A 9-year-Old boy Presented to Our Hospital with Chronic Pain in the Left Knee of Two Years Duration

Background: 

Osteoid Osteoma is a benign osteoblastic tumour usually seen in the long bone diaphysis or metaphysis with a predilection to the cortical area in the first three decades of life. The epiphyseal location of osteoid osteoma is rare, and few cases have been reported.

Case presentation:

Here, we report a 9-year-old boy who had a protracted history of pain in the left knee, which on evaluation with advanced imaging revealed likely osteoid osteoma in the distal femur epiphysis and was managed by surgical excision.

Conclusion: Epiphyseal and intra-articular osteoid osteoma, although rare, should be a differential diagnosis in young patients with pain and joint stiffness. Atypical clinical presentation and almost unremarkable plain radiographs can lead to a delay in diagnosis, necessitating a strong suspicion of this entity.

Keywords:
chronic pain

References

1. 1. Bianchi, Giampaolo, Luigi Zugaro, Pierpaolo Palumbo, Roberto Candelari, et.al. (2022). ‘Interventional Radiology’s Osteoid Osteoma Management: Percutaneous Thermal Ablation’. Journal of Clinical Medicine, 11(3):723.
1. 2. Edeiken J, A. F. DePalma, and P. J. Hodes. (1966). ‘Osteoid Osteoma. (Roentgenographic Emphasis)’. Clinical Orthopaedics and Related Research, 49:201–6.
1. 3. Park, Jongmin, and Byunggeon Park. (2021) ‘Epiphyseal Intramedullary Osteoid Osteoma in the Distal Radius: A Case Report and Literature Review’. European Journal of Radiology, 8: 100349.
1. 4. Elnaggar, Mohamed Elsayed, Aysha Albastaki, Mahmood Rashwan, and Wael Hamed Ebrahim. (2023). ‘Epiphyseal Osteoid Osteoma of the Proximal Tibial Epiphysis Treated by CT-Guided Radiofrequency Ablation: A Case Report’. Radiology Case Reports, 18(8): 2607–11.
1. 5. Carneiro, Bruno C, Isabela A. N, Da Cruz, Alípio G. et al. (2021). ‘Osteoid Osteoma: The Great Mimicker’. Insights into Imaging, 12 (1):32.
1. 6. Napora, Justyna, Szymon Wałejko, and Tomasz Mazurek. (2023).‘Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature’. Journal of Clinical Medicine, 12 (7):2721.
Share this