Osteochondroma surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

Surgery is the mainstay of therapy for osteochondroma. Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).^[1]

Surgery

Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).^[2]
This approach decreases the chance of the tumoral recurrence
Pedunculated osteochondromas are more easily removed
Solitary osteochondromas are not removed surgically; observation surveillance is suggested.^[3]
Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.^[1]

Indications

Indications for surgery for osteochondroma, include:^[2]

Pain with physical activity
Bone deformity
Limited range of motion
Compromised nerve or blood vessel
Irregular large cap of cartilage (> 2cm)^[1]

References

↑ ^1.0 ^1.1 ^1.2 Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016
↑ ^2.0 ^2.1 Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000). “Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation”. Radiographics : a Review Publication of the Radiological Society of North America, Inc. 20 (5): 1407–34. doi:10.1148/radiographics.20.5.g00se171407. PMID 10992031.
↑ Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M (2008). “Osteochondromas: review of the clinical, radiological and pathological features”. In Vivo (Athens, Greece). 22 (5): 633–46. PMID 18853760.

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[wikibook-1] 1.0 ^1.1 ^1.2 Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016

[pmid10992031-2] 2.0 ^2.1 Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000). “Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation”. Radiographics : a Review Publication of the Radiological Society of North America, Inc. 20 (5): 1407–34. doi:10.1148/radiographics.20.5.g00se171407. PMID 10992031.

[pmid18853760-3] Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M (2008). “Osteochondromas: review of the clinical, radiological and pathological features”. In Vivo (Athens, Greece). 22 (5): 633–46. PMID 18853760.

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