Pedunculated osteochondroma with fracture

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

A large palpable mass proximal to the knee joint. Acute pain due to recent trauma.

Patient Data

Age: 20 years
Gender: Female
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pedunculated bony lesion is seen in the right knee's metaphyseal region projecting away from the epiphysis. There is a mild broadening of the metaphysis from which it arises. The cartilage cap is also noted with rings and arcs calcifications.

An undisplaced fracture through the neck is noted. 

Case Discussion

The findings of the radiograph are consistent with pedunculated osteochondroma. The femur (especially the distal part) is the most common site of osteochondroma.

Case courtesy Prof. Saeed Rad, Tabriz, Iran.

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