Cüneyt Tamam, M. D. , Elizabeth A. Howse, M. D. , Muge Tamam, M. D

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Arthroscopic Excision of Acetabular Osteoid Osteoma: Computer Tomography–Guided Approach Cüneyt Tamam, M.D., Elizabeth A. Howse, M.D., Muge Tamam, M.D., Ryan H. Barnes, B.S., Thomas J. Kelsey, M.A., Brad Perry, B.S., Allston J. Stubbs, M.D., M.B.A. Arthroscopy Techniques Volume 4, Issue 2, Pages e101-e105 (April 2015) DOI: 10.1016/j.eats.2014.11.018 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 Bone scintigraphy showing an increased focal uptake “hot spot” (arrow) in the right anterior acetabulum at the site of the osteoid osteoma. Increased uptake may correlate with a more active, symptomatic lesion. (R, right.) Arthroscopy Techniques 2015 4, e101-e105DOI: (10.1016/j.eats.2014.11.018) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 The fine-cut computed tomography scan defined a 10 × 7–mm sized lesion (arrows) compatible with a subarticular osteoid osteoma located at the right anterior acetabulum. Arthroscopy Techniques 2015 4, e101-e105DOI: (10.1016/j.eats.2014.11.018) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopy portal placement. (ASIS, anterior inferior iliac spine; AL, anterolateral portal; GT, greater trochanter; MAP, modified anterior portal.) Arthroscopy Techniques 2015 4, e101-e105DOI: (10.1016/j.eats.2014.11.018) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 (A) Identification of focal synovitis above osteoid osteoma (OO) of acetabulum. (B) Central compartment view in right hip (70° arthroscope in anterolateral portal and curette from modified anterior portal), showing identification of lesion's pathognomonic cherry-red nidus (arrow) in bone. (C) Views after completed resection of osteoid osteoma (1) from acetabulum with residual healthy bone margin and preserved acetabular articular surface. A 70° arthroscope is in the anterolateral portal with instrumentation from the modified anterior portal. (AA, anterior acetabulum; FH, femoral head; TL, transverse acetabular ligament.) Arthroscopy Techniques 2015 4, e101-e105DOI: (10.1016/j.eats.2014.11.018) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions