Description of patient (type of occupation, indication of age, intensity of sport):
12 years old girl.
History and previous treatment:
11 month history of right ankle pain / better with NSAIDs
Ankle pain with activity.
Pain over medial side of ankle.
Additional investigation (CT/MRI):
12 year old female with intra-articular osteoid osteoma of talus
Question(s) to this case:
How would you manage this patient?
I would ask radiologist for radioablation. If he cannot do it due to the location with possibly iatrogenic damage to cartilage then I would go for arthroscopic removal. You then need to perform preop CT scan in order to exactly locate the lesion in order to recognize and remove it without damaging to much of the cartilage.