Hereditary multiple exostoses

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Control of osteochondromas

Patient Data

Age: 20 years
Gender: Male
x-ray

Coxa valga with multiple sessile exostoses along the neck of both proximal femurs. Small exostoses are also found arising from the iliac wings.

Case Discussion

Small exostoses usually do not create problems while large osteochondromas can cause deformity of the limbs and pelvis. Sometimes it is necessary to surgically remove the larger exostoses that can compress blood vessels or nerves.

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