Osteoid Osteoma in an Adult Wheelchair Basketball Player Mimicking Musculoskeletal Shoulder Pain: Red Flag or a Red Herring?

Tomography. 2022 Feb 7;8(1):389-401. doi: 10.3390/tomography8010032.

Abstract

Osteoid osteoma (OO) is a relatively common, benign bone-forming tumour, which mainly occurs on the long tubular bones of the limbs in adolescents. Usually, the OO is classified based on its localisation. Night-time pain is the major symptom of OO, which is commonly relieved using non-steroidal anti-inflammatory drugs, while surgery is required only for those patients with severe pain or in case of failure of previous conservative treatments. Our case report describes a 56-year-old male basketball player who self-referred to our outpatient physical therapy with a shoulder pain complaint. Considering the anamnesis and the physical examination, the physical therapist referred the patient to an orthopaedic surgeon, who suggested a detailed imaging investigation. The peculiarity of this clinical case is the overlapping of two clinical presentations: the symptomatology of the OO and the concurrent mechanical disorder due to a rotator cuff tendinopathy.

Keywords: bone tissue; differential diagnosis; neoplasms; osteoma osteoid; physical therapists; rotator cuff tendinopathy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Basketball*
  • Bone Neoplasms* / complications
  • Bone Neoplasms* / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Osteoma, Osteoid* / complications
  • Osteoma, Osteoid* / diagnostic imaging
  • Shoulder Pain / etiology
  • Wheelchairs*