Solitary Osteochondromas of the Metatarsal and Cuneiform, in an Adolescent

Laliotis, Nikolaos; Chrysanthou, Chrysanthos; Konstandinidis, Panagiotis; Papadopoulou, Elisavet

doi:10.13107/jocr.2021.v11.i07.2332

Cited by 2 publications

(2 citation statements)

References 14 publications

(23 reference statements)

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“…The Ilizarov method, through precise placement of hinges and asymmetrical lengthening of the rods, allows for simultaneous correction of axis deviation and lengthening of the affected bone. This method is the preferred choice in cases involving children who have sustained permanent damage to the physis, most commonly due to infection or severe injury of the growth plate [26][27][28]. By employing an asymmetrical rate, we were able to correct the patient's valgus deformity and LLD.…”

Section: Discussionmentioning

confidence: 99%

Restoration of Limb Length Discrepancy and Alignment With the Ilizarov Device After Management of an Aneurysmal Bone Cyst Crossing the Distal Femoral Physis

Laliotis,

Konstantinidis,

Chrysanthou

et al. 2023

Cureus

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An aneurysmal bone cyst (ABC), when located juxta-physeal, may rarely penetrate the growth plate and extend into the epiphysis. The recurrence rate is considered higher when ABC is in contact with the active growth plate. Treatment methods usually focus on cyst healing and the rate of cyst recurrence. We present the method of treatment used for addressing the lesion of the growth plate following the surgical management and healing of a juxta-physeal ABC. A seven-year-old girl had an aggressive ABC in the juxta-physeal area of the distal femur, penetrating the growth plate and extending in the epiphysis. Surgical treatment was performed, including curettage and autologous bone grafting, avoiding the growth plate. The cyst healed; however, physis presented an obliteration. The affected limb developed valgus deformity and severe leg length discrepancy (LLD). To address this issue, once our patient completed her growth, we proceeded with distraction osteogenesis, using the Ilizarov device, with asymmetrical lengthening of the rods. We achieved the correction of the limb alignment and resolved the LLD. ABCs in the juxta-physeal area of a growing child are benign metaphyseal tumors that exceptionally may penetrate the physis and extend into the epiphysis. Our report highlights that the growth plate's lesion, despite the cyst's healing, may compromise the final result. The use of the Ilizarov device is an effective method for correcting the malalignment and the LLD that may emerge.

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Section: Discussionmentioning

confidence: 99%

Restoration of Limb Length Discrepancy and Alignment With the Ilizarov Device After Management of an Aneurysmal Bone Cyst Crossing the Distal Femoral Physis

Laliotis,

Konstantinidis,

Chrysanthou

et al. 2023

Cureus

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“…Finding isolated osteochondromas in the bones of the hand or the foot is extremely rare. These osteochondromas have a clear origin in the bone of the foot or the hand, wherein the osteochondroma communicates with the medullary area of the host bone [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Solitary Extraskeletal Giant Osteochondroma of the Ankle in a Four-Year-Old Boy

Laliotis¹,

Konstantinidis²,

Chrysanthou³

et al. 2023

Cureus

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Solitary extraskeletal osteochondromas are rare benign lesions usually located close to a joint and are characterized by the absence of continuity with the adjacent bone. They are usually found in the hand and feet and are extremely rarely reported in the growing skeleton.In this paper, we describe a four-year-old boy who presented with a solitary calcified tumor in the posterior part of his ankle. We performed a detailed evaluation using plain X-rays, a CT scan, and an MRI, which revealed a well-demarcated calcified tumor that had the characteristics of an osteochondroma but without any continuity with the bones of the ankle joint. The lesion was treated surgically with the excision of a giant osteochondral lesion. Pathological examination revealed mature cartilage at the periphery with cancellous bone in the central part.Thus, we present the clinical and laboratory investigation of a solitary extraskeletal osteochondroma in the ankle of a four-year-old boy, which is an extremely rare case.

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Solitary Osteochondromas of the Metatarsal and Cuneiform, in an Adolescent

Cited by 2 publications

References 14 publications

Restoration of Limb Length Discrepancy and Alignment With the Ilizarov Device After Management of an Aneurysmal Bone Cyst Crossing the Distal Femoral Physis

Restoration of Limb Length Discrepancy and Alignment With the Ilizarov Device After Management of an Aneurysmal Bone Cyst Crossing the Distal Femoral Physis

Solitary Extraskeletal Giant Osteochondroma of the Ankle in a Four-Year-Old Boy

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