Osteochondroma history and symptoms

The hallmark of osteochondroma is a painless growing mass. A positive history of Langer-Giedion syndrome, Potocki-Shaffer syndrome, or metachondromatosis syndrome is highly suggestive of multiple osteochondromas. Symptoms related with osteochondroma will vary depending on the size and location of the tumor. Common symptoms of osteochondroma may include limb numbness, adjacent muscle soreness, and claudication.^[1][2]

• Obtaining the history is an important aspect of making a diagnosis of osteochondroma. It provides insight into natural evolution of the disease. Complete history will help determine the multiplicity or association with other conditions. Specific symptoms description such as duration, onset, and progression are important for making the diagnosis. Specific areas of focus when obtaining the history, are outlined below:^[2]

• History of fractures
• Associated swelling with tenderness.
• Growth abnormalities
• Positive family history of the following syndromes:^[1]

• Langer-Giedion syndrome
• Trevor disease
• Potocki-Shaffer syndrome
• Metachondromatosis syndrome

• The majority of osteochondromas are asymptomatic and are usually found incidentally.^[2]
• The hallmark of osteochondroma is a painless growing mass.
• Other symptoms of osteochondroma may include:^[2]

• Local swelling
• Adjacent muscle soreness
• Limb pain
• Activity-related pain (irritation with heavy exercising)
• Numbness in that extremity
• Claudication

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