Surgical Management of Symptomatic Solitary Osteochondroma of Femur Neck in an Adult

Abstract

Osteochondromas are the common benign bone tumors of the long bones, usually asymptomatic and mostly found incidentally in children and adolescents on radiographs. Osteochondromas are usually present as sessile and pedunculated swelling arising from the metaphyseal region of long bone ends. We reported a 35-year-old woman, who presented with a hard painful mass in the left gluteal region and decreased hip movements. Radiological examination showed a tumor arising from the base of femur neck. The appropriate surgical approach wasused for the complete resection of bone swelling, cartilage cap, and surrounding bursa without hampering surrounding structures as they are at risk of injury during surgical resection of the tumor. Histopathology confirmed the diagnosis of an osteochondroma. Proximal femur or neck of the femur is an unusual site for ostechondroma to occur; the risk of sarcomatous degeneration and malignant transformation of such swelling presenting late is more. Complete resection of such bone tumors keeping in mind the risk associated is the foremost aim.