Epiphyseal chondroblastoma of bone

Abstract

The authors describe the long-term sequelae of chondroblastoma in 15 patients with open growth plates, whose age at operation ranged from 8 to 15 years. At follow-up, the youngest patient was 21 and the oldest 48 years old. Upper limb length discrepancy ranging from 2 cm to 10 cm was present in the four patients who had a proximal humeral epiphyseal location; in three of them, the range of motion of the shoulder was also limited and X-rays showed marked irregularities of the humeral head. Lower limb length discrepancy ranging from 0.5 cm to 2 cm was found in five of the eight patients in whom the tumor affected lower limb epiphyses. One patient with proximal tibial epiphyseal involvement also had mild genu valgum. Radiographic osteoarthritis was present only in the trapeziometacarpal joint of a patient in whom the first metacarpal bone affected by the tumor was replaced by a free fibular graft. The abnormalities observed did not cause important functional loss in either the everyday or the working activities of any of our patients.

Chondroblastoma of distal femur in a child: A case report and review of literature

“…Chondroblastoma is a rare benign chondroid matrix forming lesion which occurs in epiphyseal region of the bone [1]. It constitutes less than 1% of all primary bone tumors.…”

“…Non treatment of these tumors can lead to increase pain, Chondroblastoma in a 9-year old disability, or pathological fracture and in rare case, metastasis most commonly to lungs for which Non Contrast Computed Tomography (NCCT) chest has to be done for further evaluation. Limb length discrepancy and deformity have been reported after curettage of physeal chondroblastoma in children [1,8]. Even though chondroblastoma is considered benign, on rare occasions, it can metastasize to the lung [9].…”

Results From Clinical and Radiological Follow-Up, After Surgical Treatment of Chondroblastoma

“…The frequency of growth disorders has been reported to be 7-50% ( 15 , 21 ) . During our follow-up, we did not observe any growth disorders and/or angular deviations in the limbs.…”