Osteochondroma Fracture at the Distal Medial Femur

Henry, Nathan E.; Carow, Scott D.; Kocher, Bradley L.

doi:10.2519/jospt.2014.0407

Cited by 2 publications

(1 citation statement)

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“…An insufficiency fracture at the site of an osteochondroma has not been reported previously, although a fracture through the stalk of an osteochondroma has been reported as a rare complication. 5,[8][9][10] The cause of a stalk fracture at an osteochondroma occurs as a direct consequence of an impingement against the surrounding tissues and a direct or indirect injury as a result of strong muscle contraction. [10][11][12][13] Reported cases have been localized to the knee joint.…”

Section: Discussionmentioning

confidence: 99%

Insufficiency fracture at an osteochondroma bridging the proximal fibula and the tibia: Case report

Sakamoto

Okamoto

Matsuda

2018

Journal of Orthopaedics

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Osteochondromas are benign bone tumors that protrude from underlying bone. A fracture of an osteochondroma is rare, and no insufficiency fractures of an osteochondroma have been reported. A 57-year-old female complained of pain in her proximal leg that increased during walking. A computed tomographic image depicted bridging that had extended to the tibia. An incomplete fracture line was observed at the osteochondroma. The osteochondroma was resected to remove the bridge. The preoperative symptoms disappeared after surgery. It was challenging to diagnose an osteochondroma with an insufficiency fracture because the symptoms varied in accordance with daily activity.

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Section: Discussionmentioning

confidence: 99%

Insufficiency fracture at an osteochondroma bridging the proximal fibula and the tibia: Case report

Sakamoto

Okamoto

Matsuda

2018

Journal of Orthopaedics

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Physical Therapist Clinical Reasoning and Action for Individuals With Undiagnosed Lower Extremity Tumors: A Report of 3 Cases

Peterson¹,

Denninger²,

Porter³

2017

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Resident's case problem. Background Although rare in the general population, bone and soft tissue tumors may be more frequently encountered in patients seeking physical therapy because of the propensity of their initial symptoms to mimic those of commonly treated musculoskeletal disorders. Screening for tumors requires the physical therapist to be attentive to unexpected findings. The purpose of this paper was to describe the clinical-reasoning and screening processes of physical therapists who facilitated the timely recognition of bone and soft tissue tumors in 3 patients referred through medical channels. Diagnosis The referral diagnoses were lumbar spinal stenosis, calcaneal bursitis, and postexcisional quadriceps weakness. When comprehensively examined, each of the patients had either atypical examination findings or failed to respond to physical therapy treatment. After the physical therapists alerted the appropriate medical providers of the examination findings, diagnoses of high-grade osteosarcoma of the pelvis, chondroma of the knee, and liposarcoma of the thigh followed. Discussion Tumors of the lower extremity can initially mimic common musculoskeletal pathology. Physical therapists must remain alert for red flags, atypical signs and symptoms, and poor responses to treatment, even when patients are referred through medical channels. Particular attention is necessary in the case of unusual symptoms in the lower extremity, where over half of primary malignant tumors occur. Level of Evidence Differential diagnosis, level 5. J Orthop Sports Phys Ther 2017;47(5):359-366. Epub 29 Mar 2017. doi:10.2519/jospt.2017.7037.

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Osteochondroma Fracture at the Distal Medial Femur

Cited by 2 publications

References 1 publication

Insufficiency fracture at an osteochondroma bridging the proximal fibula and the tibia: Case report

Insufficiency fracture at an osteochondroma bridging the proximal fibula and the tibia: Case report

Physical Therapist Clinical Reasoning and Action for Individuals With Undiagnosed Lower Extremity Tumors: A Report of 3 Cases

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