Surgical treatment of girdle bone osteochondroma: A case series

Abstract

Background: Osteochondroma is most common benign bone tumour. But flat bones are rarely involved. Objective of study is to present 10 cases of osteochondroma in girdle bone that is rarely reported in medical literature and addressing specific concerns with these entities. Methods: This is a case series which described 10 cases having osteochondroma in pubic bone (2 cases) and scapula (8 cases). Patients coming to the Orthopaedics Department of MKCG Medical College, Berhampur between December 2015 to December 2017 were included in case series and those were severely ill and did not give consent were excluded. Results: Age of patients ranged from 15 to 46 years. Patients with pubic bone osteochondroma presented with swelling and dull aching, non radiating pain. Patients with scapular bone osteochondroma presented with swelling on dorsal surface of scapular body, out of which 3 had towards lateral border and 5 towards medial border.5 patients were complaining of mild pain. For pubic bone osteochondroma, under spinal anesthesia and supine position a curvilinear suprapubic incision (Like pfannenstiel approach) was given and bony mass was excised at base of outgrowth from parent bone. Similarly for osteochondroma in scapula, longitudinal incision was given over the involved area and mass was excised at base of outgrowth from parent bone. Both intra operative and post operative periods were uneventful. In all cases, patients were doing normal activity without any complain at 3 weeks and 6 weeks of follow up period. The histopathological findings of the excised mass corresponded to the findings of osteochondroma. Conclusion: This case series described rare cases of osteochondroma in scapula and pubic bone. Surgical excision of the masses was done which showed good result for the osteochondroma.