Osteocondromas solitarios del extremo proximal del fémur. Indicación y resultados de la resección en bloque sin luxación de la cadera

Ramos-Pascua, L.R.; Sánchez-Herraéz, S.; Alonso-Barrio, J.A.; Alonso-León, A.

doi:10.1016/j.recot.2011.08.003

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…In our case, the imaging features of the tumor were characteristic of a periosteal chondroma but not of a periosteal chondrosarcoma. A correct differential diagnosis between these two tumors is necessary in order to avoid aggressive and inappropriate treatment [14][15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Periosteal Chondroma in the Scapular Spine: A Case Report

J¹,

D²,

B³

et al. 2017

MOJOR

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Introduction: The majority of scapular tumors have a cartilaginous origin, being the osteochondroma the most frequent. In this article we will review the main characteristics of the osteochondroma and another rare tumor, the periosteal chondroma, a benign bone tumor that arises from the deep layers of the periosteum from which there are not much cases published. Presentation of Case:We present an unusual case of a periosteal chondroma located in the scapular spine in a 25-year-old women. The first impression given by diagnostic imaging studies was a parosteal growth tumor, however given the rarity of these tumors; it was initially diagnosed as osteochondroma. Being a symptomatic tumor, complete excision with safety margins was performed. After histological examination of the tissue, it was finally diagnosed as periosteal chondroma.Results: There were no postoperative complications. After 6 months follow up, the clinical results are positive, being the patient free of disease with complete recovery and a normal function of the scapulohumeral joint with full range of motion. To date there is absence of tumor recurrence. Discussion:The definitive diagnosis of chondral type tumors is difficult to establish, requiring the combination of clinical, radiological imaging and histopathology of the lesion. The recognition of these features enables a correct diagnosis to be made. Conclusion:Periosteal chondromas are very rare tumors from which there are very few cases reported in the literature. It is important to know well its characteristics and be careful when analysing these lesions.

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Section: Discussionmentioning

confidence: 99%

Periosteal Chondroma in the Scapular Spine: A Case Report

J¹,

D²,

B³

et al. 2017

MOJOR

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“…However, many problems can arise from these lesions such as labral tears, nerve compression, hip dislocation, external snapping hip, and malignant transformation in 0.4–2% of patients [8, 13, 19, 20, 27]. A variety of surgical techniques have been reported in the literature for these solitary lesions without dysplasia (Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…Li et al [6] have echoed these results utilizing the same technique for the resection of a posteromedial femoral neck osteochondroma in one paediatric case. Using both anterior and posterolateral approaches, Ramos-Pascua et al have successfully excised femoral neck osteochondromas in 6 patients without dislocating or subluxating the hip [19]. These patients had good to excellent results based on the Musculoskeletal Tumour Society (MSTS) scale.…”

Section: Discussionmentioning

confidence: 99%

Hip Joint Osteochondroma: Systematic Review of the Literature and Report of Three Further Cases

Makhdom

Jiang

Hamdy

et al. 2014

Advances in Orthopedics

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The aim of this study is to systematically review the literature with regards to surgical treatment of patients with hip joint osteochondromas, and to report our surgical management of three paediatric patients who had femoral neck or acetabular osteochondromas in association with acetabular dysplasia. We performed a systematic review using PubMed and Embase databases for all studies that reported surgical treatments for patients with peritrochanteric or acetabular osteochondroma with or without acetabular dysplasia. We also retrospectively reviewed three patients who were diagnosed with a hip osteochondroma in association with actetabular dysplasia. These patients were known to have hereditary multiple exostoses (HME). The systematic review revealed 21 studies that met our inclusion criteria. All studies were case reports and retrospective in nature and failed to conclude a uniform treatment plan. The three reported cases illustrate successful excision of hip osteochondromas and treatment of acetabular dysplasia. Early excision of hip osteochondromas might prevent acetabular dysplasia in HME patients. Routine radiographic pelvic survey at the time of diagnosis of HME is recommended for early detection of hip osteochondromas and acetabular dysplasia in these children.

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“…Osteochondromas may occur on any bone preformed in cartilage but usually are found on the metaphysis of a long bone near the physis. They are seen most often on the distal femur, the proximal tibia, and the proximal humerus [ 2 ]. However, intra-articular osteochondromas may also occur, causing pain and discomfort and restricting the range of motion.…”

Section: Introductionmentioning

confidence: 99%

A Case Report on Surgical Excision of Intracapsular Osteochondroma of Femur Neck using Mini-Arthrotomy without Hip Dislocation in a Young Female with Hereditary Multiple Exostoses

Ghoti¹,

Mahajan²,

Kondewar³

et al. 2022

JOCR

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Introduction: Osteochondromas are the most common benign bone tumors. They probably are developmental malformations rather than true neoplasms and are thought to originate within the periosteum as small cartilaginous nodules. The lesions consist of a bony mass produced by progressive endochondral ossification of a growing cartilaginous cap. Osteochondromas usually are found on the metaphysis of a long bone near the physis such as distal femur, proximal tibia, and proximal humerus. Surgical treatment for femur neck osteochondroma is difficult due to the high risk of avascular necrosis following excision. These lesions in femur are in close proximity to important neurovascular bundle and can cause ymptoms related to their compression. Furthermore, the symptoms related to labral tear and hip impingement are common. Recurrence is rare and is caused by failure to remove the entire cartilaginous cap. Case Report: A 25-year-old female presented with the complaints of pain in the right hip and difficulty in walking and running for 1 year. On radiological examination, the right femur neck osteochondroma was diagnosed, it as located along the posteroinferior margin of the femur neck. Surgical removal of the lesion was done in lateral decubitus position using osterolateral approach to hip without dislocation of the femur. Conclusion: Osteochondroma at femur neck can be safely removed without surgical hip dislocation. It’s necessary to remove it completely to avoid recurrence.

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Osteocondromas solitarios del extremo proximal del fémur. Indicación y resultados de la resección en bloque sin luxación de la cadera

Cited by 7 publications

References 16 publications

Periosteal Chondroma in the Scapular Spine: A Case Report

Periosteal Chondroma in the Scapular Spine: A Case Report

Hip Joint Osteochondroma: Systematic Review of the Literature and Report of Three Further Cases

A Case Report on Surgical Excision of Intracapsular Osteochondroma of Femur Neck using Mini-Arthrotomy without Hip Dislocation in a Young Female with Hereditary Multiple Exostoses

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