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Osteochondroma

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Osteochondroma

History: The patient complained of right knee pain, was evaluated at the Pain Clinic, and received Celecoxib qd for pain with variable results. The patient walked into Orthopaedics Clinic seeking further evaluation and treatment because of continuing pain in the right knee that had not resolved completely with medical management.

Findings: Radiographs showed an osseous pedunculated mass continuous with and extending from the medullary and cortical bone of the medial tibial metaphysis and pointing away from the joint. The mass measures 1.1x1.16cm . Stippled calcifications are consistent with the cartilaginous component of the lesion.

Ddx: 1. Peripheral osteochondroma 2. Peripheral chondrosarcoma

Exam: Physical exam or laboratory test results were not available. However, these tumors are usually found incidentally on radiographs and usually are asymptomatic. Typical physical findings, when present, are a nontender mass that grows slowly. When patients develop pain, symptoms may result from mass effect of the tumor, particularly causing irritation and inflammation of neighboring vessels, nerve, or bursae. Pain may also result from malignant transformation to chondrosarcoma.

No MeSH data available.


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Osteochondroma

USU Teaching File MUTF - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2382&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Osteochondroma

History: The patient complained of right knee pain, was evaluated at the Pain Clinic, and received Celecoxib qd for pain with variable results. The patient walked into Orthopaedics Clinic seeking further evaluation and treatment because of continuing pain in the right knee that had not resolved completely with medical management.

Findings: Radiographs showed an osseous pedunculated mass continuous with and extending from the medullary and cortical bone of the medial tibial metaphysis and pointing away from the joint. The mass measures 1.1x1.16cm . Stippled calcifications are consistent with the cartilaginous component of the lesion.

Ddx: 1. Peripheral osteochondroma 2. Peripheral chondrosarcoma

Exam: Physical exam or laboratory test results were not available. However, these tumors are usually found incidentally on radiographs and usually are asymptomatic. Typical physical findings, when present, are a nontender mass that grows slowly. When patients develop pain, symptoms may result from mass effect of the tumor, particularly causing irritation and inflammation of neighboring vessels, nerve, or bursae. Pain may also result from malignant transformation to chondrosarcoma.

No MeSH data available.