Continued Knee Pain After Treatment

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Continued Knee Pain After Treatment - Page #4

Working Diagnosis: Osteoid Osteoma Treatment: Patient underwent physical therapy and radiation. Outcome: Patient had six rounds of radiation that resulted in resolution of pain. Patient continued physical therapy and returned to run protocol. Author's Comments: This case illustrates an atypical presentation of a benign tumor, Osteoid Osteoma. Although Osteoid Osteoma typically presents with less than 30 minutes of pain that resolves with NSAIDs use in children and adolescents, this case demonstrates that on a provider's differential this should be ruled out if chronic pain continues for prolonged time after appropriate and adequate treatment was given. Also, the radiograph and MRI did not show these findings and the over-read CT scan was able to make a diagnosis. More so, the treatment of choice was six rounds of radiation and not NSAIDS as recommended for Osteoid Osteoma. Recognizing this syndrome can reduce chronic knee pain in future patients. Editor's Comments: Usually these tumors are being diagnosed by x-rays and bone scan. Sometimes a MRI is added for clarification. It is important that the Sports Medicine expert reads his/ her images personally and does not rely on the radiologist's interpretation. The gold standard for treating osteoid osteoma is CT-guided radiofrequency ablation (RFA). This minimally-invasive, outpatient procedure is commonly performed in the Interventional Radiology department. References: 1. Carneiro BC, Da Cruz IAN, Ormond Filho AG, et al. Osteoid osteoma: the great mimicker. Insights Imaging. 2021;12(1):32. Published 2021 Mar 8. doi:10.1186/s13244-021-00978-8 2. Dookie AL, Joseph RM. Osteoid Osteoma. In: StatPearls. Treasure Island (FL): StatPearls Publishing; May 2, 2022. 3. De Filippo M, Russo U, Papapietro VR, et al. Radiofrequency ablation of osteoid osteoma. Acta Biomed. 2018;89(1-S):175-185. Published 2018 Jan 19. doi:10.23750/abm.v89i1-S.7021 Return To The Case Studies List.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC