Gigantic clavicle osteochondroma with carotid compression as a rare cause of stroke

Gouicem, Djelloul; Palcău, Laura; Coffin, Olivier; Maïza, D; Berger, L.

doi:10.1016/j.jvs.2012.09.046

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…The Popliteal Vascular Entrapment Forum does not describe osseous abnormalities as a cause, but bony abnormalities, especially osteochondromas, have been described to cause vascular complications in numerous case reports. [8][9][10][11][12][13][14][15][16][17] Although arteries can be compromised by osteochondromas in areas above the inguinal ligament, 11 the lower extremity is the most common location. There are multiple reports of femoral, tibial, and fibular osteochondromas compromising the vessels of the popliteal space.…”

Section: Discussionmentioning

confidence: 99%

Tibial osteochondroma inducing popliteal artery compression

Henry

Mouawad

Phieffer

et al. 2015

Journal of Vascular Surgery

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Compression of the neurovascular contents of the popliteal fossa is a rare condition that leads to exercise-induced pain and paresthesias in young athletes. Most frequently, it is caused by musculotendinous abnormalities resulting in popliteal entrapment syndrome. Bony abnormalities rarely are implicated but can produce symptoms that mimic popliteal entrapment syndrome. We present a patient with a tibial metaphysis osteochondroma inducing popliteal artery compression that was relieved after resection.

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Section: Discussionmentioning

confidence: 99%

Tibial osteochondroma inducing popliteal artery compression

Henry

Mouawad

Phieffer

et al. 2015

Journal of Vascular Surgery

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“…Stroke secondary to osteochondroma has also been described. Gouicem et al 19 described a common carotid artery occlusion from a clavicle osteochondroma that was resected, and Altaf et al 20 described vertebral artery occlusion from a first cervical vertebra osteochondroma managed with anticoagulation. Sethi et al 21 described a popliteal vein aneurysm managed conservatively.…”

Section: Discussionmentioning

confidence: 99%

Fractured osteochondroma presenting with popliteal pseudoaneurysm: Case report and review of literature

Chen

Vaes

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Osteochondroma, the most common tumor of bone, is usually asymptomatic. Vascular complications are an atypical presentation and include true or false aneurysm formation, deep venous thrombosis, and arterial insufficiency. A review of the English literature identified 130 cases of osteochondroma-related vascular complications. We describe the case of a 38-year-old man presenting with left calf pain and swelling who was diagnosed with the rare constellation of a popliteal pseudoaneurysm and incidental peroneal vein thrombosis secondary to a fractured femoral sessile osteochondroma. This was treated with resection of the osteochondroma, excision of the aneurysm, and primary end-to-end anastomosis of the artery.

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“…Clavicular medial-sided osteochondromas and the first rib osteochondromas are anatomically located extremely close to the vascular structures, brachial plexus, and pleura. As a result, osteochondromas in that region may produce much more serious clinical problems such as stroke (carotid artery compression), [34] brachial plexopathy, [35] subclavian vein thrombosis, [36] thoracic outlet syndrome (subclavian artery compression) [36,37] Horner syndrome, [38] spontaneous hemothorax (as a result of chronic irritation of pleural vessels and mechanical compression) [39] and venous thoracic outlet syndrome. [40] These locations (clavicula medial side and the first rib) may also cause aesthetic problems and impair shoulder mechanics as well.…”

Section: Discussionmentioning

confidence: 99%

Osteochondromas originating from unusual locations complicating orthopedic discipline: case series

Gökkuş

Atmaca

Sağtaş

et al. 2015

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu yazıda, sıra dışı yerleşimli osteokondromlu yedi olgunun klinik, radyolojik ve takip sonuçları bildirildi ve bu sıra dışı yerleşimli osteokondromların nadir ve sıra dışı özelliklerinin önemi vurgulandı. Şubat 2009 -Mart 2014 tarihleri arasında kliniğimizde (Antalya Memorial Hastanesi) tedavi edilen sıra dışı yerleşimli yedi osteokondromlu hasta bildirildi. Hastalar yerleşim yerlerine, bulgularına ve nörovasküler tutulum veya organ basısı varlığına göre sınıflandırıldı. Sonuçlar, mevcut literatür verileri eşliğinde tartışıldı. Hastalarımızın beşinde sıra dışı semptomatoloji vardı. Yedi hastanın altısına cerrahi eksizyon yapıldı. Bir hasta yalnızca planlı poliklinik viziti ile takip edildi. Klinik sonuçlarımız iyi ila mükemmeldi. Olgu serimizde, klavikula tutulumlu bir hastada omuz mekaniğinin bozulmasına bağlı omuz ağrısı; pubik tutulumlu bir diğerinde tıkalı idrar yolu bulguları ve dizüri vardı. Skapula tutulumlu bir hastada yalancı kanat skapula semptomları; fibula başı tutulumlu iki hastanın birinde peroneal sinir sıkışması ve diğerinde tibial sinir sıkışması semptomları vardı. İskiyal ramus tutulumlu bir hastada siyatalji; kaburga tutulumlu bir diğerinde ise herhangi bir semptom olmaksızın osteokondroma bağlı subklavyen arter basısının radyolojik bulguları vardı. Deneyimlerimize göre, fetal dönemde genellikle intramembranöz tipi kemikleşme yoluyla oluşan yassı kemikler (skapula, iliyum, pubik ramus, iskiyum ramus, kaburgalar ve klavikula dahil olmak üzere) nadiren çok daha az etkilenir ve sıklıkla sıra dışı semptomlar ile birlikte seyreder. Fibula başı kaynaklı osteokondromlar, ortopedi cerrahlarına masum görünebilir. Ancak, ortopedi cerrahları bu hasta grubunda tibiofibular sinositoz ve sinir basısına karşı uyanık olmalıdır.Anahtar sözcükler: Kemik doku; kıkırdak; eksizyon; neoplazma; osteokondrom. ABSTRACTHerein, we report clinical, radiological, and follow-up results of seven cases of extraordinary located osteochondromas and highlight the importance of rare and unusual properties of unusual locations of osteochondromas. Seven patients with extraordinary located osteochondromas were treated in our institution (Antalya Memorial Hospital) between the period of February 2009 and March 2014 were reported. The patients were classified according to the localization, symptomatology, and the presence of neurovascular involvement or organ compression. The results were discussed with the existing literature data. Five of our patients had unusual symptomatology. Surgical excision was performed on six of seven patients. One patient was followed with scheduled outpatient visits alone. Our clinical followup results were good to excellent. In our case series, one patient with clavicular involvement had impaired shoulder mechanic which resulted in painful shoulder, while another with pubic ramus involvement had obstructive urination symptoms and dysuria. One patient with scapular involvement had snapping scapula symptoms, while two patients with fibular head involvement had peroneal nerve compression and tibial...

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Gigantic clavicle osteochondroma with carotid compression as a rare cause of stroke

Cited by 6 publications

References 8 publications

Tibial osteochondroma inducing popliteal artery compression

Tibial osteochondroma inducing popliteal artery compression

Fractured osteochondroma presenting with popliteal pseudoaneurysm: Case report and review of literature

Osteochondromas originating from unusual locations complicating orthopedic discipline: case series

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