Vascular complications of osteochondromas

Vasseur, Michèle; Fabre, Oliver

doi:10.1016/s0741-5214(00)90315-x

Cited by 45 publications

(66 citation statements)

References 21 publications

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“…It occurs not only in solitary but also in mostly involving the popliteal artery. 3) The popliteal artery, adjacent to the distal femur, is fixed proximally at Hunter's canal and distally at the trifurcation. Thus, both the proximal and distal portions of the popliteal artery have little mobility and can be displaced and stretched over an adjacent osteochondroma.…”

Section: Discussionmentioning

confidence: 99%

Acute Lower Extremity Ischemia due to the Popliteal Pseudoaneurysm in a 16-year-old Boy with Multiple Exostoses

Banno

Houbballah

Becquemin

2013

Annals of Vascular Diseases

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Osteochondromas or exostoses are the most common benign bone tumors. This is a case of a 16-year-old boy with multiple osteochondromatosis which caused the popliteal pseudoaneurysm and a subsequent distal embolism. Vascular complications, especially acute limb ischemia, caused by osteochondromas are very rare. This abnormality should be searched for when dealing with young patients with acute limb ischemia.

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Section: Discussionmentioning

confidence: 99%

Acute Lower Extremity Ischemia due to the Popliteal Pseudoaneurysm in a 16-year-old Boy with Multiple Exostoses

Banno

Houbballah

Becquemin

2013

Annals of Vascular Diseases

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“…In the case of known multiple hereditary exostosis pathologic condition, the occurrence of swelling, pain, or ischemia should be a warning sign, and vascular complications of exostosis should be evoked. [29] Some authors have used Computed Tomography (CT) to diagnose the condition, [2,30] whilst others have used plain x-ray [2,3] and Magnetic Resonance Imaging (MRI). [3,4] Duplex ultrasongraphy and angiograms may also be worth considering to exclude vascular injury.…”

Section: Discussionmentioning

confidence: 99%

“…[3,4] Duplex ultrasongraphy and angiograms may also be worth considering to exclude vascular injury. [2,3,29] With regards treatment options, the majority will settle with conservative and supportive measures. [8] If symptoms are unresponsive to conservative treatment, then surgical removal of the osteochondroma remains an option.…”

Section: Discussionmentioning

confidence: 99%

“…[8] If symptoms are unresponsive to conservative treatment, then surgical removal of the osteochondroma remains an option. [29] Some authors have undertaken surgical removal using an endoscopic approach, particularly within the distal femoral region. [31] Fitzgerald et al [32] present a case report of how a patient with multiple osteochondromas got symptomatic relief from hip impingement secondary to hip joint exostosis, with surgical removal of the offending osteochondromas.…”

Section: Discussionmentioning

confidence: 99%

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Osteochondroma. An Osteological Study

Arquez

2018

int arch med

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Background: Osteochondroma is the most common tumor of bone, accounting for approximately one third of benign lesions in the skeleton, is a broad (sessile) or narrow (pedunculated) skeletal protrusion comprised of marrow and cortical bone. Although it is benign, its biological behavior still has a malignant potential. Chondrosarcoma arising in osteochondroma has been recognized for many years. Osteochondromas might occur on any bone preformed in cartilage, they were especially seen on the long bones of the extremities, predominantly around the knee. In fact, the lower limb seemed to be at a higher risk of the tumor than the upper limb on the top two locations: distal part of the femur and proximal part of the tibia, however, the proximal humerus ranked the third place for solitary osteochondroma while the proximal fibula for multiples osteochondromas. Methods and Findings:A total of 20 skeletons and 18 cadavers of both sex, 16 males and 2 females, with different age groups were used, this study was carried out by routine dissection classes for undergraduate medical student´s in the Morphology Laboratory of the University of Pamplona during the years 2013-2016. In only one sample was found the presence of osteochondroma. The measurement of the osseous mass was of 7x3.5x1.5 cm, attached to the posterolateral aspect of the middle third of the femur. Conclusions:Osteochondroma is generally asymptomatic or discovered accidentally, but it can cause different symptoms depending on site of occurrence local swelling, bony deformities, fracture, bursa formation, arthritis and impingement on adjacent tendons, vascular or neurologic compromise, and dislocation The importance of correct treatment and follow-up of large osteochondromas to avoid complications such as further damage to neighboring neurovascular structures, and potential malignant degeneration. The present study describe a rare location from an osteochondroma in the femur diaphysis.

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“…1 Mostly, they are asymptomatic, but because of the bony palpable mass, it can cause pain due to bursitis, compression on an overlying structure, or fracture through the stalk. The effects of solitary exostoses of the proximal femur have been described in cases involving sciatic nerve compression 2 and trochanteric bursitis, 3 leading to surgical excision or local treatment.…”

Section: Introductionmentioning

confidence: 99%

Pedunculated Osteochondroma arising from the Medial Aspect of Proximal Femur: A Rare Presentation

Hamid¹,

Somashekarappa²,

Jauhari³

et al. 2017

International Journal of Advanced and Integrated Medical Sciences

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Osteochondroma is a benign bony tumor arising as a bony outgrowth covered by a cartilage cap and occurs most commonly in the metaphysis of long bones (proximal tibia, distal femur, proximal humerus) and pelvis. Osteochondroma grows eccentrically instead of centrifugally. This article reports a case of a 24-yearold female, who presented with a painless bony hard irregular swelling over medial aspect of right groin. There was no distal neurovascular deficit. Site, nature, and extent of the lesion were assessed by radiographs and magnetic resonance imaging. Tumor was completely excised and on histopathology, osteochondroma confirmed. No weight bearing was allowed for 1 week. Patient returned to her normal routine activities in 1 month. On regular follow-up, no evidence of recurrence of the lesion was seen.

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Vascular complications of osteochondromas

Abstract: Surgical treatment of vascular complications of osteochondromas is recommended as an urgent procedure to avoid irreversible damages, such as arterial occlusion, embolism, or phlebitis. Prophylactic resection of osteochondromas in the vicinity of a vessel must be performed.

Cited by 45 publications

References 21 publications

Acute Lower Extremity Ischemia due to the Popliteal Pseudoaneurysm in a 16-year-old Boy with Multiple Exostoses

Acute Lower Extremity Ischemia due to the Popliteal Pseudoaneurysm in a 16-year-old Boy with Multiple Exostoses

Osteochondroma. An Osteological Study

Pedunculated Osteochondroma arising from the Medial Aspect of Proximal Femur: A Rare Presentation

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