Question 2423
{"accessible":true,"alternatives":[{"id":11918,"text":"MDT discussion"},{"id":11920,"text":"MRI"},{"id":11917,"text":"no treatment required"},{"id":11921,"text":"RFA ablation"},{"id":11919,"text":"start treatment with NSAIDs"}],"archived":false,"correctAlternativeId":11919,"explanation":"\u003cp\u003eThere is a sclerotic lesion in the left patella. Adjacent to the sclerosis is a lucent lesion and the concern is that this represents an \u003ca href=\"/articles/osteoid-osteoma\"\u003eosteoid osteoma\u003c/a\u003e.\u0026nbsp;\u003c/p\u003e\u003cp\u003eMost children and adolescents with an osteoid osteoma should be treated with an NSAID first to determine whether their pain is controllable. If it is, they will likely not require further treatment.\u003c/p\u003e\u003cp\u003eMRI will show edema. It will almost certainly not add any information that helps decision-making.\u003c/p\u003e\u003cp\u003eIf pain is not controlled by the NSAIDs, then MDT discussion and referral for RFA ablation is certainly a good treatment option for this type of lesion.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":2423,"imageUrl":"https://prod-images-static.radiopaedia.org/images/58903078/028b60f505ea9e0cf63d24be3a939721d49592e0e470b4434359cbce52e90173_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":147646},"imageAttributionCaseInfo":{"title":"Osteoid osteoma - patella","contributor_name":"Jeremy Jones","contributor_param":"drjermy","case_rid":147646,"case_param":"osteoid-osteoma-patella-1"},"firstQuestionPath":"/questions/2423","nextQuestionPath":"/articles/radiofrequency-ablation/questions/2350","relatedArticles":[{"id":1802,"title":"Osteoid osteoma","link":"/articles/osteoid-osteoma?lang=us"}],"alsoUsedIn":[{"id":1296,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1296","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1296"},{"id":1296,"kind":"Course","title":"Paediatric Lectures - page 1296","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/1296"}],"stem":"\u003cp\u003eThis adolescent presents with left anterior knee pain. They are on no medications.\u0026nbsp;A plain film is normal and subsequent imaging is performed. Given the appearance of the CT, what should be done next (imaging/treatment)?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2423"}],"attemptsPercentages":[{"alternativeId":"11918","percentage":10},{"alternativeId":"11921","percentage":11},{"alternativeId":"11919","percentage":27},{"alternativeId":"11917","percentage":18},{"alternativeId":"11920","percentage":35}],"promptToLogin":false,"questionManager":false,"articleId":"radiofrequency-ablation"}