A case report of osteochondroma with unusual clinical and imaging presentation

Authors

1 Department of Orthopedics, Kashani Hospital, Isfahan Medical University, Isfahan, Iran

2 Processing and Signal Research Center, Department of Radiology, Alzahra Hospital, Isfahan Medical University, Isfahan, Iran

3 Imam Khomeini Hospital, Khomein, Iran

4 Department of Patholgy, Isfahan Medical University, Isfahan, Iran

5 Saint Jeorge Medical School, University of London, London, USA

Abstract

Osteochondroma or exostosis is a bony developmental anomaly, which arises from exophytic outgrowth on bone surfaces in a characteristic manner. Osteochondroma is asymptomatic and grows away from the nearby joint. This paper reports an unusual presentation of osteochondroma in which the patient was surprisingly completely symptomatic. The lesion grew toward the nearby joint and the radiographic findings were not compatible with surgical findings

Keywords

1.
Singh R, Jain M, Siwach R, Rohilla S, Sen R, Kaur K. Large para-articular osteochondroma of the knee joint: A case report. Acta Orthop Traumatol Turc 2012;46:139-43.  Back to cited text no. 1
    
2.
Haaga JR, Dogra VS, Frosting M, Gilkeson RC, Sundaram M. CT and MRI of whole body 5 th ed. Vol. 2. Mosby Elsevier: Philadelphia, PA; 2009. p. 2134-5.  Back to cited text no. 2
    
3.
Mehrian P, Karimi MA, Kahkuee S, Bakhshayeshkaram M, Ghasemikhah R. Solitary osteochondroma of the thoracic spine with compressive myelopathy; a rare presentation. Iran J Radiol 2013;10:77-80.  Back to cited text no. 3
    
4.
Sutton D. Textbook of Radiology and Imaging. 7 th ed. Vol. 2. New York: Churchill Livingstone; 2003. p. 1276-8.  Back to cited text no. 4
    
5.
Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, et al. Osteochondromas: Review of the clinical, radiological and pathological features. In Vivo 2008;22:633-46.  Back to cited text no. 5
    
6.
Lee KC, Davies AM, Cassar-Pullicino VN. Imaging the complications of osteochondromas. Clin Radiol 2002;57:18-28.  Back to cited text no. 6
    
7.
Sanga L, Goswami G. Intra-articular osteochondroma: A case report. NHL J Med Sci 2013;2:1.  Back to cited text no. 7
    
8.
Mehta M, White LM, Knapp T, Kandel RA, Wunder JS, Bell RS. MR imaging of symptomatic osteochondromas with pathological correlation. Skeletal Radiol 1998;27:427-33.  Back to cited text no. 8
    
9.
Resnick D, Kransdorf M. Bone and Joint Imaging. 3 rd ed. Vol. 2. Philadelphia, PA: Elsevier and Saunders; 2005. p. 1146-9.  Back to cited text no. 9
    
10.
Altay M, Bayrakci K, Yildiz Y, Erekul S, Saglik Y. Secondary chondrosarcoma in cartilage bone tumors: Report of 32 patients. J Orthop Sci 2007;12:415-23.  Back to cited text no. 10
    
11.
Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH. Imaging of osteochondroma: Variants and complications with radiologic-pathologic correlation. Radiographics 2000;20:1407-34.  Back to cited text no. 11
    
12.
Recht MP, Sachs PB, LiPuma J, Clampitt M. Popliteal artery pseudoaneurysm in a patient with hereditary multiple exostoses: MRI and MRA diagnosis. J Comput Assist Tomogr 1993;17:300-2.  Back to cited text no. 12
    
13.
Shah ZK, Peh WC, Wong Y, Shek TW, Davies AM. Sarcomatous transformation in diaphyseal aclasis. Australas Radiol 2007;51:110-9.  Back to cited text no. 13