15May 2017

OSTEOCHONDROMA OF DISTAL FEMUR.

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A 46 year old male presented with ? painful non mobile, bony hard swelling of lower end of Right femur of 20 years duration. The swelling was present since 20 years with progressive increase in size of the swelling and pain on knee movements since last 1 year. Clinical examination revealed a bony hard swelling arising from anteromedial aspect of lower end of femur away from the knee joint. The swelling was painful on knee flexion of more than 90 degrees. Range of motion of knee 0 to 120 degree. X Rays revealed aexostosis arising from lower end of femur with a fungating mass at the cartilaginous cap abutting the skin. A diagnosis of exostoses lower end femur with possible malignant transformation was made. In view of sudden increase in size of the lesion and associated pain on knee movements, and mechanical obstruction Patient underwent surgical excision of the exostoses .Histopathology revealed osteochondroma& no malignant transformation.


  1. Schajowicz, F: Cartilage-forming tumors. In Tumors and Tumorlike Lesions of Bone.Pathology, Radiology, and Treatment. Ed. 2,pp.141-256. New York, Springer, 1994
  2. Unni, K. K.: Osteochondroma (osteocartilaginousexostosis). In Dahlin?s Bone Tumors: GeneralAspects and Data on 11,087 Cases.Ed.5, pp. 11-23. Philadelphia, Lippincott-Raven, 1996.
  3. Canale&beaty :Campbell?s operative orthopaedics 11th edition. Copyright 2007 mosby an imprint of Elsevier
  4. Bone and soft tissue pathology (pg331-335) -andrewl.folpe, carrie y .inwards-a volume in the series FOUNDATIONS IN DIAGNOSTIC PATHOLOGY, copyright 2010 by saunders an imprint of Elsevier,inc
  5. Canella P, Gardini F, Boriani S. Exostosis: development, evolution and relationship to malignant degeneration. Ital J Orthop Traumatol1981;7:293-8.
  6. Porter DE, Simpson AHRW. The neoplastic pathogenesis of solitary and multiple osteochondromas. J Pathol 1999; 188:119-25.
  7. Bottner et al., 2003. Bottner F, Rodl R, Kordish I, et al: Surgical treatment of symptomatic osteochondroma: a three- to eight-year follow-up study. J Bone Joint Surg (br) 2003; 85B:1161
  8. Variants of exostosis of the bone in children. -Randy Ray Richardson, MD-Seminars inRoentgenology-Volume 40, Issue 4 , Pages 380-390, October 2005
  9. Malghem J, Vande Berg B, Noel H, et al: Benign osteochondromas and exostoticchondrosarcomas:evaluation of artilage cap thickness by ultrasound. Skeletal Radiol 21:33-37, 1992
  10. Krieg, J. C.; Buckwalter, J. A.; Peterson, K. K.; El-Khoury, G. Y.; and Robinson, R. A.: Extensive growth of an osteochondroma in a skeletally mature patient. A case report. J. Bone and Joint Surg., 77-A: 269-273, Feb. 1995.

[Arvind Kumar, Anirudh Bansal, Jainish Patel, Sudhir Rawat, parth deshmukh and amit patel. (2017); OSTEOCHONDROMA OF DISTAL FEMUR. Int. J. of Adv. Res. 5 (May). 138-142] (ISSN 2320-5407). www.journalijar.com


Dr.Jainish Patel


DOI:


Article DOI: 10.21474/IJAR01/4089      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4089