One-stage surgical excision of a huge bilateral multiple osteochondroma of the hip
A case report
Keywords:
Osteochondroma, One-stage bilateral excision, Hereditary multiple exostosisAbstract
Osteochondroma or hereditary multiple exostoses is the most common benign bone tumor and is usually found in young patients. Osteochondromata of the proximal femur or hip have been reported in 30% to 90% of patients with hereditary multiple exostoses. This article presents a 25-year-old-male referred to our orthopedic clinic with a complaint of pain in both groins for the last four years which has deteriorated in the past 6 months by limitation of range of motion. Radiographic findings were consistent with huge hip osteochondroma and a histopathological report confirmed the diagnosis. This was a case of a huge bilateral osteochondroma of the hip originating from the posterior of the hips to the neck of the femur and hip joints and part of proximal of femur, that underwent one-stage surgical excision of the tumor with posterior approach and tumor resection. As we know, this case of bilateral huge hip osteochondromas has rarely been presented previously by someone who has undergone one-stage surgery treatment of a tumor this size. Bilateral hip osteochondroma is a rare condition and we showed that one-stage excision can be performed successfully.
Keywords: Osteochondroma, One-stage bilateral excision, Hereditary multiple exostosis
References
Albrecht S, Crutchfield JS, SeGall GK. On spinal osteochondromas. J Neurosurg. 1992; 77(2): 247-52. doi:
3171/jns.1992.77.2.0247. PMID: 1625013.
de Andrea CE, Kroon HM, Wolterbeek R, Romeo S, Rosenberg AE, DeYoung BR, et al. Interobserver
Reliability in the Histopathological Diagnosis of Cartilaginous Tumors in Patients with Multiple
Osteochondromas. Mod Pathol. 2012; 25(9): 1275-83. doi: 10.1038/modpathol.2012.78. PMID: 22555180.
Yildirim C, Rodop O, Kuskucu M, Sahin O, Gamsizkan M. Giant solitary osteochondroma arising from the
fifth metatarsal bone: a case report. J Foot Ankle Surg. 2010; 49(3): 298.e9-15. doi:
1053/j.jfas.2010.02.024. PMID: 20605564.
Rajaram Manoharan S, Gopinathan N, Vishwanathan V, Goni V, Tripathy S. Surgical Excision Of A Large
Sessile Osteochondroma Of The Lesser Trochanter Of Femur: A Case Report. Webmed Central. 2010;
(11): WMC001237. doi: 10.9754/journal.wmc.2010.001237.
Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH. Imaging of osteochondroma: variants
and complications with radiologic-pathologic correlation. Radiographics. 2000; 20(5): 1407-34. doi:
1148/radiographics.20.5.g00se171407. PMID: 10992031.
Bovee J. Multiple osteochondromas. Orphanet J Rare Dis. 2008; 3(1): 3. doi: 10.1186/1750-1172-3-3.
PMID: 18271966.
Malhotra K, Nunn T, Chandramohan M, Shanker J. Metatarsal stress fractures secondary to soft-tissue
osteochondroma in the foot: case report and literature review. Foot Ankle Surg. 2011; 17(4): e51-4. doi:
1016/j.fas.2011.05.003. PMID: 22017915.
Yu K, Meehan JP, Fritz A, Jamali AA. Osteochondroma of the femoral neck: a rare cause of sciatic nerve
compression. Orthopedics. 2010; 33(8). doi: 10.3928/01477447-20100625-26. PMID: 20704099.
Gruber-Szydlo K, Poreba R, Belowska-Bien K, Derkacz A, Badowski R, Andrzejak R, et al. Popliteal
artery thrombosis secondary to a tibial osteochondroma. Vasa. 2011; 40(3): 251-5. doi: 10.1024/0301- 1526/a000101. PMID: 21638255.
Mahmoodi SM, Bahirwani RK, Abdull-Gaffar BA, Habib IF. Intrabursal vein abrasion and thrombosis. An
unusual complication of femoral osteochondroma. Saudi Med J. 2009; 30(12): 1604-6. PMID: 19936429.
Martin C, Munk PL, O'Connell JX, Lee MJ, Masri B, Wambeek N. Malignant degeneration of an
osteochondroma with unusual intra-bursal invasion. Skeletal radiol. 1999; 28(9): 540-3. doi:
1007/s002560050560. PMID: 10525800.
Schmale GA, Conrad EU, 3rd, Raskind WH. The natural history of hereditary multiple exostoses. J Bone
Joint Surg Am. 1994; 76(7): 986-92. doi: 10.2106/00004623-199407000-00005. PMID: 8027127.
Legeai-Mallet L, Munnich A, Maroteaux P, Le Merrer M. Incomplete penetrance and expressivity skewing
in hereditary multiple exostoses. Clin genet. 1997; 52(1): 12-6. doi: 10.1111/j.1399-0004.1997.tb02508.x.
PMID: 9272707.
Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, et al. Osteochondromas:
review of the clinical, radiological and pathological features. In Vivo. 2008; 22(5): 633-46. PMID:
Solooki S, Vosoughi AR, Masoomi V. Epidemiology of musculoskeletal tumors in Shiraz, south of Iran.
Indian J Med Paediatr Oncol. 2011; 32(4): 187-91. doi: 10.4103/0971-5851.95138. PMID: 22563150,
PMCID: PMC3343243.
Liu W, Kong D, Tang J, Yu F. Giant costal osteochondroma in a man with multiple exostoses. Ann Thorac
Surg. 2013; 96(2): 675-7. doi: 10.1016/j.athoracsur.2012.12.007. PMID: 23910108.
Florez B, Monckeberg J, Castillo G, Beguiristain J. Solitary osteochondroma long-term follow-up. J Pediatr
Orthop B. 2008; 17(2): 91-4. PMID: 18510166.
Paik NJ, Han TR, Lim SJ. Multiple peripheral nerve compressions related to malignantly transformed
hereditary multiple exostoses. Muscle Nerve. 2000; 23(8): 1290-4. doi: 10.1002/1097- 4598(200008)23:8<1290::AID-MUS23>3.0.CO;2-M. PMID: 10918272.
Felix NA, Mazur JM, Loveless EA. Acetabular dysplasia associated with hereditary multiple exostoses. J
Bone Joint Surg Br. 2000; 82(4): 555-7. PMID: 10855881.
Tanigawa N, Kariya S, Kojima H, Komemushi A, Fujii H, Sawada S. Lower limb ischaemia caused by
fractured osteochondroma of the femur. Br J Radiol. 2007; 80(952): e78-80. doi: 10.1259/bjr/44678280.
Makhdom AM, Jiang F, Hamdy RC, Benaroch TE, Lavigne M, Saran N. Hip Joint Osteochondroma:
Systematic Review of the Literature and Report of Three Further Cases. Adv Orthop. 2014; 2014: 180254.
doi: 10.1155/2014/180254. PMID: 24963411.
Muzaffar N, Bashir N, Baba A, Ahmad A, Ahmad N. Isolated osteochondroma of the femoral neck
presenting as hip and leg pain. A case study. Ortop Traumatol Rehabil. 2012; 14(2): 183-7. doi:
5604/15093492.992290. PMID: 22619103.
Ofiram E, Porat S. Progressive subluxation of the hip joint in a child with hereditary multiple exostosis. J
Pediatr Orthop B. 2004; 13(6): 371-3. doi: 10.1097/01202412-200411000-00004. PMID: 15599227.
Shinozaki T, Watanabe H, Inoue J, Ogiwara T. Rotational acetabular osteotomy in a dysplastic hip with
femoral neck osteochondromas. Orthopedics. 1998; 21(5): 588-90. PMID: 9606700.
Siebenrock KA, Ganz R. Osteochondroma of the Femoral Neck. Clin Orthop Relat Res. 2002; 394: 211-8.
doi: 10.1097/00003086-200201000-00025. PMID: 11795736.
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