Vascular complications of osteochondromas

Abstract

Surgical treatment of vascular complications of osteochondromas is recommended as an urgent procedure to avoid irreversible damages, such as arterial occlusion, embolism, or phlebitis. Prophylactic resection of osteochondromas in the vicinity of a vessel must be performed.

Exostoses and Vascular Complications in the Lower Limbs: Two Case Reports and Review of the Literature

“…In this literature review, there are 57 cases; however only Ennker et al, 15 Smits and Moll, 26 Vasseur and Fabre, 29 and Chaouch et al 45 have described more than one case.…”

“…This condition was clinically interpreted as a chronic artery disease in young patients, often without cardiovascular risk factors. 29 These patients kept a member protective flexion attitude.…”

Superficial femoral artery pseudo aneurysm: A rare vascular complication of exostoses

“…3,9 These tumours are usually asymptomatic and found on plain radiograph as an incidental finding. Vascular complications usually present in the second decade of life 9 , and are related to the ossification of the cartilaginous cap of the osteochondroma, present during the growth period.…”

“…Osteochondromas are the most common form of benign bone tumours 2,3 . Vascular complications are rare with pseudo aneurysm being the most common.…”

“…It may present with thrombosis, embolism, arteriovenous fistulae, or the development of pseudo aneurysms. In the English literature, about 107 such complications have been reported, of which, 59 were said to be pseudo aneurysms [1][2][3][4][5][6][7][8][9][10] . Popliteal artery pseudo aneurysms [4][5][6]11 are the most commonly reported cases associated with exostoses, but other arteries have also been reported, such as superficial femoral artery 7 (as in our case), brachial artery 8 , and posterior tibial artery.…”