Abstract
The indications for surgery in 116 cases of osteochondroma included cosmetic problem in 38, pain (on hitting some object or continuous pain due to bursitis) in 50, pressure (on adjacent nerves) in 18, hindrances of joint movements in 8, fracture of the growth in 1 and malignant change in 1 patient. The complications of surgical excision included infection in 2 patients (which was controlled with antibiotics and dressings) and injury to posterior tibial artery in one case (which was repaired with the help of vascular surgeon immediately). In 94 patients, the tumour was excised before epiphyseal fusion (done carefully so as to prevent damage to the growth plate). It is not essential to wait until skeletal maturity as many patients want to get it excised as early as possible for cosmetic reasons. All the cases were relieved of their symptoms. There was no recurrence.
Similar content being viewed by others
References
Canale ST (2003) Campbell’s operative orthopaedics, vol 1, 10th edn. Mosby, St. Louis, pp 803–806
Wienstin SL, Buckwalter JA (1994) Turek’s orthopaedics principles and their application, 5th edn. J. B. Lippincott company, Philadelphia, pp 307–308
Duthie RB, Bentley G (1996) Mercer’s orthopaedic surgery, 9th edn. Arnold, London, pp 699–700
Bovee JVMG, Cleton-Jensen AM, Wuyts W et al (1999) Ext- Mutation analysis and loss of heterozygosity in sporadic and hereditary osteochondromas and secondary chondrosarcomas. Am J Hum Genet 65:689–698
Natrajan M, Mayilvahanan N (1994) Natrajan’s textbook of Orthopaedics and traumatology, 4th edn. M N Orthopaedic Hospital, Madras, India, pp 101–102
Lee KCY, Davies AM, Cassar-Pullicino VN (2002) Imaging the complications of osteochondromas. Clin Radiol 57:18–28
Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000) Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation. Radiographics 20:1407–1434
Vanhoenacker FM, Van Hul W, Wuyts W, Willems PJ, De Schepper AM (2001) Hereditary multiple exostoses: from genetics to clinical syndrome and complications. Eur J Radiol 40:208–217
Peterson HA (1989) Multiple hereditary Osteochandromata. Clin Orthop 239:222–230
Shapiro F, Simon S, Glimcher MJ (1979) Hereditary multiple exostosis: anthropometric, roentgenographic and clinical aspects. J Bone Joint Surg 61-A:815–824
Koplas M, Winalski C, Sundaram M (2007) Osteochondroma with large bursa clinically mimicking malignant transformation. Orthopedics 30(7):505, 581–583
Griffiths HJ, Thompson RC, Galloway HR, Everson LI, Suh JS (1991) Bursitis in association with solitary osteochondromas presenting as mass lesions. Skeletal Radiol 20:513–516
Ahmed AR, Tan TS, Unni KK, Collins MS, Wenger DE, Sim FH (2003) Secondary chondrosarcoma in osteochondroma: report of 107 patients. Clin Orthop Relat Res 411:193–206
Meissner SA, Vieth V, August C, Winkelmann W (2006) Radiology-pathology conference: osteosarcoma in a cartilaginous exostosis of the femur. Clin Imag 30:206–209
Garrison RC, Unni KK, McLeod RA et al (1982) Chondrosarcoma arising in osteochondroma. Cancer 49:1890–1892
Paik NJ, Han TR, Lim SJ (2000) Multiple peripheral nerve compressions related to malignantly transformed hereditary multiple exostoses. Muscle Nerve 23(8):1290–1294
Turan Ilica A, Yasar E, Tuba Sanal H, Duran C, Guvenc I (2008) Sciatic nerve compression due to femoral neck osteochondroma: MDCT and MR findings. Clin Rheumatol 27(3):403–404
Klebuc M, Burrow S, Organek A, Cole W, Zuker R (2001) Osteochondroma as a causal agent in popliteal artery pseudoaneurysms: case report and literature review. J Reconstr Microsurg 17:475–479
Antonio ZP, Alejandro RM, Luis MRJ, Jose GR (2006) Femur osteochondroma and secondary pseudoaneurysm of the popliteal artery. Arch Orthop Trauma Surg 126:127–130
Guy NJ, Shetty AA, Gibb PA (2004) Popliteal artery entrapment syndrome: an unusual presentation of a fibular osteochondroma. Knee 11:497–499
Leggett DAC, Sinnott SJ, Kienzle HN (2006) Pseudoaneurysm and deep vein thrombosis complicating femoral osteochondroma: multimodality imaging. Australas Radiol 50:258–261
Carpintero P, Leon F, Zafra M, Montero M, Berral FJ (2003) Fractures of osteochondroma during physical exercise. Am J Sports Med 31:1003–1006
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Khare, G.N. An analysis of indications for surgical excision and complications in 116 consecutive cases of osteochondroma. Musculoskelet Surg 95, 121–125 (2011). https://doi.org/10.1007/s12306-011-0143-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12306-011-0143-6