Osteoid osteomas are common, small, benign, and usually solitary lesions that can be quite painful.  These lesions can be treated conservatively with aspirin if the the risk of pathologic fracture is small.  However, conservative treatment often requires a prolonged course requiring frequent dosing of aspirin.  After discussion with the patient and his parents they felt it would be difficult for an active adolescent to reliably follow through with a protracted course of medication, and they opted for surgical treatment.  He successfully underwent careful curettage of the lesion, ensuring that the nidus of the osteoid osteoma was entirely removed to prevent recurrence.

 

 



 

 

 

 
 

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