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Multifocal osteoid osteoma of tibia
  1. Venkatesan Sampath Kumar,
  2. Shah Alam Khan,
  3. Aravindh Palaniswamy,
  4. Shishir Rastogi
  1. Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Venkatesan Sampath Kumar, venkatortho4{at}


Multifocal osteoid osteoma of the bone is extremely rare. We report a 25-year-old man who presented with pain in the left leg since 11 months which was partially relieved by over-the-counter analgesics. Radiograph demonstrated two lytic lesions with surrounding sclerosis along the anterior cortex of the left tibia. Three-phase Tc 99m bone and CT scans confirmed the diagnosis of multifocal osteoid osteoma. The patient underwent surgical excision followed by protected weight bearing. The patient was asymptomatic at 6 months postoperatively. Multifocal osteoid osteoma needs to be considered in the differential diagnosis of multiple lytic lesions in the bone.

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