Chondroblastoma: distal femur

Case contributed by Dr Angela Byrne

Presentation

Pain around knee.

Patient Data

Age: 14 years
Gender: Male
X-ray

X-ray left knee

A sharply defined lucent lesion is centered on the epiphysis of the distal femur, and appears to transgress the growth plate (which remains open). It has a narrow zone of transition and no convincing matrix calcification. Anteriorly it appears to abut the articular surface, possibly breaching it. A joint effusion is present. No periosteal reaction is present. 

CT

CT left knee

CT confirms the plain film appearances, revealing a sharply demarcated epiphyseal lucent lesion but with faintly sclerotic margins. It transgresses the growth plate into the anterior part of the metaphysis. There is no periosteal reaction, however the does appear to be a cortical breach anterosuperiorly into the knee joint. No matrix calcification or extra-osseous soft tissue component can be demonstrated.

Diagram

Distribution of chondroblastomas

Distribution of chondroblastomas. Layout and distribution: Frank Gaillard 2012, Line drawing of skeleton: Patrick Lynch 2006, Creative Common NC-SA-BY

Case Discussion

This case demonstrates typical appearances of a chondroblastoma, in a typical location. The lesion was curetted and pathology confirmed the diagnosis. 

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Case information

rID: 8112
Case created: 13th Jan 2010
Last edited: 19th Jul 2017
Tags: knee, femur
Inclusion in quiz mode: Included

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