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The Journal of Bone and Joint Surgery 81:437-8 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Michael A. Simon, M.D., Daniel I. Rosenthal, M.D., Francis J. Hornicek, M.D., Michael W. Wolfe, M.D., L. Candace Jennings, M.D., Mark C. Gebhardt, M.D. and Henry J. Mankin, M.D.

TO THE EDITOR:

"Percutaneous Radiofrequency Coagulation of Osteoid Osteoma Compared with Operative Treatment" (80-A: 815–821, June 1998), by Rosenthal et al., is a comparison between percutaneous ablation of osteoid osteoma and operative treatment of osteoid osteoma by a group of knowledgeable, highly skilled orthopaedic oncologists and radiologists. The article raises two issues. One is specific to the article, and the other pertains to the role of interventional radiology in the management of patients.

The article did not present a broad perspective on the treatment of osteoid osteoma. The only time that nonoperative treatment was mentioned was in the second paragraph of the introduction, when the authors cavalierly dismissed medical treatment of osteoid osteoma by stating that the lesion "is usually removed because patients are unwilling to tolerate the pain and wish to avoid the long-term use of non-steroidal anti-inflammatory medications." This statement is totally unsubstantiated and is not consistent with . . . [Full Text of this Article]


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