Distal tibial osteochondroma causing fibular deformation resected through a posterolateral approach

Tayara, Bader; Uddin, Fares; Al-Khateeb, Hesham

doi:10.1097/bco.0000000000000351

Cited by 2 publications

(6 citation statements)

References 16 publications

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“…90% of osteochondromas present as solitary mass whereas 10% present as multiple hereditary exostoses. 2,[5][6][7] Osteochondroma usually has a predictable natural course. It slowly increases in size until the age of skeletal maturity, after which growth ceases.…”

Section: Discussionmentioning

confidence: 99%

“…But this resection is delayed until the time of skeletal maturity. 2,5,6,8 They are of two types: pedunculated and sessile. Sessile types are at greater risk of malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

“…Overall malignant transformation rate is less than 1%. 1,[5][6][7] Distal tibial osteochondroma is rare. Osteochondromas of foot and ankle are up to 11.8% of all osteochondroma.…”

Section: Discussionmentioning

confidence: 99%

“…4 However, distal tibial interosseous osteochondromas are excised even before skeletal maturity to prevent possible deformity, pathological fracture, or disturbed ankle kinematics. 2,3,5,8 This is a case of distal tibial interosseous exostosis, deforming the adjoining part of the fibula with its impending fracture. Clinically and radiologically, it was diagnosed to be osteochondroma.…”

Section: Discussionmentioning

confidence: 99%

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Distal Tibia Interosseous Osteochondroma With Fibula Deformity

Panta¹,

Thapa²,

Paudel³

2021

JCMC

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Osteochondroma, one of the commonest bone tumors, is a cartilage capped exostosis. It occurs commonly in rapidly growing ends of long bones. It’s rare in slowly growing regions of long bones. Osteochondroma present in distal tibial interosseous border causing fibular deformity is very uncommon. Osteochondroma is usually managed conservatively till the age of skeletal maturity, but distal tibial osteochondromas are managed surgically to prevent deformity, impending fibula fracture, ankle pain, syndesmotic injury irrespective of skeletal maturity. It is a case report of an 18-year-old male with gradually increasing, painless mass at the distal leg for 6 years, increasing bowing deformity since 2 years with no functional limitations. Clinical and radiological findings were consistent with distal tibial osteochondroma with deformity of the adjoining fibula. Exostosis was excised successfully leaving a thin deformed distal fibula. The result was painless, stable, and non-progressive residual ankle deformity. Histopathology confirmed the diagnosis with no malignant transformation.

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Section: Discussionmentioning

confidence: 99%

“…But this resection is delayed until the time of skeletal maturity. 2,5,6,8 They are of two types: pedunculated and sessile. Sessile types are at greater risk of malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

“…Overall malignant transformation rate is less than 1%. 1,[5][6][7] Distal tibial osteochondroma is rare. Osteochondromas of foot and ankle are up to 11.8% of all osteochondroma.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Distal Tibia Interosseous Osteochondroma With Fibula Deformity

Panta¹,

Thapa²,

Paudel³

2021

JCMC

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“… 3 – 5 Resection of symptomatic lesions is usually recommended through either anterolateral, posterolateral or fibular osteotomy approaches. 4 – 7 …”

Section: Discussionmentioning

confidence: 99%