Distal radial osteochondroma

Case contributed by Dr Jeremy Jones

Presentation

Distal arm pain following a fall. Pain when pronating.

Patient Data

Age: 8
Gender: Male
Modality: X-ray

There is a large distal radial osteochondroma that extends to the medial border of the distal ulna.

Modality: CT

Solitary distal radial osteochondroma without aggressive features.

Case Discussion

As in many cases, the presentation following trauma reveals a longstanding abnormality unrelated to the presentation.

In this case, there is a large bony outgrowth from the lateral surface of the distal radius that projects towards the ulnar in the region of the intraosseous membrane. There are not features of an aggressive bone lesion.

Features are of an osteochondroma and there are no accompanying agressive features.

There is a covering cartilagenous cap, but this is not significantly widened. If further assessment of the cap was required, this could be performed with ultrasound or MRI. Its location may make assessment with ultrasound difficult.

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Case Information

rID: 27131
Case created: 21st Jan 2014
Last edited: 19th Feb 2017
Inclusion in quiz mode: Included

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