Osteoid osteoma of coracoid

Most common pathologies resulting in shoulder pain are usually a consequence of degenerative, traumatic or metabolic aetiologies involving various structures around the shoulder. Benign tumours leading to pain and functional disturbance in the shoulder are rare. We report a case of a man in his 20s who presented with shoulder pain that remained unresolved for 1.5 years. Clinical examination revealed no signs of instability related to labral or rotator cuff injury. A plain radiograph of the shoulder revealed sclerosis in the coracoid process. A CT scan of the shoulder showed a nidus at the base of the coracoid, confirming the diagnosis of osteoid osteoma. He was managed by arthroscopic excision of the lesion. Postoperatively, he was able to return to all his activities within 3 months. At 1 year follow-up, no recurrence was observed.