Volume: 4 Issue: 2
Year: 2016, Page: 50-52,
Introduction: Osteochondromas represent the most common primary bone neoplasms. They probably are developmental malformations rather than true neoplasm and are thought to originate within the periosteum as small cartilaginous nodules. The lesions consist of a bony mass, often in the form of a stalk, produced by progressive endochondral ossification of a growing cartilaginous cap. They are commonly found in the metaphysis of long bones near the physis. Most commonly seen on the distal end of femur, proximal tibia, and proximal humerus most commonly on posterolateral area. Malignant degeneration is extremely rare. Here we present a rare case of osteochondroma in a 22 years male patient arising from the diaphysis of proximal humerus on anteromedial side, extending till brachial plexus and causing ulnar nerve impingement. It was resulting in dragging type of pain which was radiating towards right shoulder with numbness over the medial aspect of the arm and ulnar aspect of the forearm.
Keywords: Osteochondroma, penduculated, benign bone tumours
1. J Coll Physicians Surg Pak. 2014 Mar;24 Suppl 1:S43-5.
2. Biermann JS. Common Benign lesion of bone in children and adolescents. J Pediatr Orthop 2002; 22: 268-273.
3. Murphey MD, Choi JJ, Kransdorf MJ et al. Imaging of osteochondroma:variants and complication with radiologic correlation. Radiographics 2000; 20: 1407-1434.
4. Vanhoenacker FM, Van Hul W, Wuyts W et al. Hereditary multiple exotoses : from genetics to clinical syndrome and complication. Europ j Radiology 2001; 40 : 208-217.
5. Case Rep Orthop. 2016;2016:7684807. doi: 10.1155/2016/ 7684807. Epub 2016 Jan 26.
6. Garrison RC, Unni KK, MclLeod RA et al. Chondrosarcoma arising in osteochondroma. Cancer 1982; 49: 1890-1897.
7. Wirganowicz PZ, Watts HG. Surgical risk for elective excision of benign exostoses. J pediatr Orthop 1997;17:455-9.
8. J Bone Joint Surg Am. 2011 Mar 16;93(6):e20. doi: 10.2106/JBJS.J.00449.
Vishal P, Abhilash V, Nagendra. A rare case of Osteochondroma from diaphysis of proximal Humerus involving ulnar nerve.Perspectives in medical research 2016;4:2:50-52.