Abstract
Osteoid osteoma (OO) is a benign bone forming tumor characterized by small size and
a disproportionate amount of pain. They are most commonly seen between the ages of
5 and 30 years; however, they can be seen in the older patient albeit infrequently.
The hands and feet are the least common site of OO among the extremity bones. We present
a case of an OO in the hand of a 77-year-old man who underwent successful treatment
with computed tomography–guided percutaneous radiofrequency ablation. We believe this
is the oldest recorded patient in the medical literature with a histologically confirmed
OO. The condition should therefore be considered in the differential diagnosis of
a painful sclerotic bone lesion in this age group to avoid a delay in diagnosis and
subsequent treatment.
Keywords
bone tumor - osteoblastic tumor - osteoid osteoma - radiofrequency ablation
