Introduction: Osteoid osteomas (OO) are small, well-defined, benign bone tumors of the young that are commonly found in long bones. In rare circumstances, when present elsewhere, they can mimic the symptoms of other pathologies pertaining to that area.
Presentation of case: We present such case in which an “OO” of the coracoid process led to a 2-year delay in diagnosis and management of a young male due to the presenting symptoms resembling those of other shoulder pathologies. Ultimately, the use of advanced imaging modalities proved to be useful in detecting the “OO”, which was consequently arthroscopically excised.
Discussion: Appropriate imaging modalities such as CT or MRI often visualize the characteristic nidus more clearly as opposed to an X-ray and should therefore be used early when conservative management of shoulder pain has not been proven to be useful.
Conclusion: A long history of shoulder pain that is not responsive to conservative management in young patients should raise the suspicion of an “OO”, and physicians should be encouraged to use early advanced imaging modalities in order to confirm it.

Dr. Dalal AlGhoozi’s journey in medicine commenced in 2019, earning a Bachelors of Medicine, Surgery, and Obstetrics with distinction from the Royal College of Surgeons in Ireland.
Driven by her interest in oncology and realising the sharp increase of cancer cases in the gulf, Dr. AlGhoozi conducted further research in this field utilizing the extensive knowledge gained during her studies and practice.
Following graduation, she is currently pursuing her passion for oncological research (medicine?) at the Bahrain Defence Force Hospital – Royal Medical Services where Dr. AlGhoozi published her case report “Osteoid Osteoma of the Base of the Coracoid Process”.