Presentation
They may present as a swelling in the chest wall or as an incidental finding on the chest radiograph. Osteochondroma usually presents in childhood or adolescence. [jocr.co.in]
Pain medication is only used if symptoms of pain present. [physio-pedia.com]
Clinical Presentation Signs/Symptoms: Hard swelling for many years Symptoms dependent on location/size May cause mechanical symptoms from compression of adjacent structures such as tendons, nerve or blood vessels An overlying bursa may form and result [tumorsurgery.org]
A family (father, daughter and son) with Metachondromatosis is presented, and the tendency to spontaneous remission in this condition is emphasized. A "second thought", when considering the diagnosis of mce, seems worthwhile. [ncbi.nlm.nih.gov]
They are the most common benign bone lesions and present during late childhood and adolescence. [en.wikibooks.org]
Entire Body System
- Swelling
Case report A 9 yr old boy presented with swelling over chest on the right side. The skin over the swelling was normal. It was painless and non tender and fixed to the rib anteriorly (Fig 1). [jocr.co.in]
Clinical Presentation Signs/Symptoms: Hard swelling for many years Symptoms dependent on location/size May cause mechanical symptoms from compression of adjacent structures such as tendons, nerve or blood vessels An overlying bursa may form and result [tumorsurgery.org]
[…] necrosis opening operation ophthalmy opium osseous pain patient periosteum portion pressure produced protruded puncture removed scrofulous Sir Astley Cooper situation skin sloughing sometimes sore splints stricture substance suppuration surface surgeon swelling [books.google.de]
A painless skeletal swelling or a slowly growing mass is the usual mode of presentation. HME leads to abnormalities such as palpable bony masses and limb shortening in the first or second decade of life. [emedicine.medscape.com]
This will cause immediate pain and swelling in the area of the tumor. Because many osteochondromas do not cause any discomfort or other symptoms, they are often discovered by accident when an x-ray is done for an unrelated reason. [orthoinfo.aaos.org]
- Gaucher Disease
In MHE, the distal femurs develop an “Erlenmeyer flask” shapes, similar to Gaucher’s disease. CT and MRI are also useful to determine the extent of soft tissue impingement surrounding the lesion (Tarassoli, 2009). [posna.org]
Skin
- Excoriation
Diseases of Veins 267 Aneurismal Varix or Venous Aneu 275 Necrosis 283 Mollities 297 Exostoses 304 Inflammation of Synovial Membrane 311 Scrofulous Disease of Joints begin 318 Injuries and Diseases of Tendons 327 Growth of Tumours 333 Ophthalmitis ib Excoriations [books.google.de]
Musculoskeletal
- Genu Valgum
valgum ; - Ankle in MED: - valgus ankle deformity; - diastasis of the ankle; - surgical indications: - pain from trauma or from prominent masses; - ankle pain assoc w/ deformity - w/ tibiotalar valgus > 15 deg, hemiepiphyseal stapling is indicated; - [wheelessonline.com]
Genu valgum (commonly known as "knock-knees"), ankle valgus, and bowing and shortening of one or both of the forearm bones are common manifestations. [5] Types [ edit ] Buccal exostosis Footballer's ankle (exotosis of the ankle bone) Hereditary multiple [en.wikipedia.org]
[…] real incidence Usually evident early in childhood Clinical Features Great variation in distribution and extent of condition LLD a common feature Genu valgum may also be present Hands involved may ® grotesque swelling of digits Bowing of long bones also [flinders.edu.au]
- Bone Disorder
MHE is a genetic bone disorder in which benign, cartilage-capped tumors (Exostoses or Osteochondromas) grow from the growth plate of long bones or from the surface of flat bones throughout the body. [globalgenes.org]
- Knee Pain
Edema in the vastus medialis muscle (arrows) may be due to muscle impingement. 9 Figure 9: 32 year-old male with knee pain which is worse with activity. [radsource.us]
- Back Pain
Scleroderma Treatment Management of limb deformities difficult Hazards of surgery need to be stressed Relief of pain and prevention of deformity by splinting and soft tissue release Prognosis Gloomy prognosis [ Back to the Top ] Metaphyseal Dysplasias [flinders.edu.au]
Workup
Imaging Studies: Initial workup begins with history and physical examination including a detailed family history, especially in patients with two or more lesions. Radiographic imaging is the next step and can be diagnostic. [posna.org]
With CT scanning, radiation burden in the young may be a disadvantage, particularly when several examinations may be required in the workup of hereditary multiple exostoses (HME) or sarcomatous transformation. [emedicine.medscape.com]
X-Ray
- Mediastinal Mass
Osteochondroma arising from a rib mimicking a calcifying anterior mediastinal mass. J Korean Radiol Soc 2007;57:533-5. 4. Phatak SV, Kolwadkar PK, Rajderkar D. Solitary osteochondroma of rib. Ind J Radiol Imag 2006;16:339-40 5. Cemil M, Purut MD. [jocr.co.in]
- Anterior Mediastinal Mass
Osteochondroma arising from a rib mimicking a calcifying anterior mediastinal mass. J Korean Radiol Soc 2007;57:533-5. 4. Phatak SV, Kolwadkar PK, Rajderkar D. Solitary osteochondroma of rib. Ind J Radiol Imag 2006;16:339-40 5. Cemil M, Purut MD. [jocr.co.in]
Treatment
Nonsurgical Treatment In most cases, treatment consists of careful observation over time. Your doctor may want to take regular x-rays to keep track of any changes in the tumors. [orthoinfo.aaos.org]
Ausgewählte Seiten Titelseite Inhaltsverzeichnis Inhalt ELEMENTARY AND GENERAL subjects 1 Suppuration and Abscesses 32 Treatment of Abscesses 42 Mortification 50 Of Amputation for Mortification 74 Erysipelas 91 Of Furuncular Carbuncular 99 Deformities [books.google.de]
[…] for continued osteochondroma growth after skeletal maturity (in which case malignancy is suspected); - definitive treatment includes marginal excision of an active exostosis, including the cartilaginous cap & overlying perichondrium; - deep bony base [wheelessonline.com]
Treatment: objectives and methods Treatment osteochondroma begin with taking a tissue biopsy. The aim of the study is the exclusion of malignant transformation. Treatment plan bone cartilage akolosov individually. [medicalj-center.info]
Treatment [ edit ] No treatment is required if the diagnosis is not in doubt and if the patient is relatively asymptomatic. However, surgical resection is indicated for persistent irritation from bursitis or for neurovascular compromise. [en.wikibooks.org]
Prognosis
Cartilaginous Exostosis Prognosis This disease does not carry a deadly prognosis. However, the onset of cartilaginous exostosis can lead to serious health complications for the patient. [knowcancer.com]
Gloomy prognosis [ Back to the Top ] Metaphyseal Dysplasias (hyperdysplasias) 1. [flinders.edu.au]
The prognosis is favorable In most cases, with successful treatment the prognosis is favorable. Relapses usually do not occur. [medicalj-center.info]
The prognosis is usually excellent It is estimated that very small fraction of individuals may have recurrence after surgery (2% recurrence - according to Mayo Clinic). [dovemed.com]
Process and prognosis are good, a malicious development are rare. [wikipedia.qwika.com]
Etiology
This happens in approximately 1% of solitay osteochondroma cases [1] [9] [12] and 5-25% in multiple osteochondromas. [1] [13] Etiology The etiology regarding the development of solitary osteochondroma is currently unknown [6]. [physio-pedia.com]
Hereditary Multiple Exostoses: One Center’s Experience and Review of Etiology. Severity of disease and risk of malignant change in hereditary multiple exostoses. A genotype-phenotype study. [wheelessonline.com]
BACKGROUND: This study was undertaken to determine whether unilateral hallux valgus progresses unilaterally and to evaluate the demographics, etiologies. [usehobas.xpg.uol.com.br]
Etiology: Osteochondromas have been historically viewed as developmental lesions, but there is evidence supporting a neoplastic origin (Biermann, 2002; Murphey, 2000; Porter, 1999). [posna.org]
Causes of tumors in most cases are not the exact etiology. Some tumors appear to be due to genetic nature. Tumors are benign or malignant (cancer). Sometimes benign tumors are transformed into malignant ones. [medicalj-center.info]
Epidemiology
Osteochondromas without a stalk are called sessile exostoses. [2] [11] Epidemiology/Etiology Epidemiology Average age of clinical presentation is between 10 and 30. [2] [7] [10] [8] These tumors account for 10%-15% of all bone tumors [3], while representing [physio-pedia.com]
Epidemiology [ edit ] Age: Present before the age of 20 in 80% of cases ( range of age 10–35 years) Sex: There is a 2:1 male to female predominance for the development of solitary osteochondromas. [en.wikibooks.org]
Epidemiology: Osteochondromas are the most common benign tumor of bone accounting for 10% of primary skeletal tumors and 40% of benign bone tumors (Dahlin, 1986). [posna.org]
Epidemiology Affects 2 per 100,000 population. [ 2 ] More frequently found in Caucasians than in other races. Risk factors Inheritance is autosomal dominant, with near-complete penetrance. [patient.info]
Epidemiology data are based on the Netherlands Committee of bone tumors database. Benign Cartilage Tumors Benign cartilage tumors arise primarily in young age groups, with a peek incidence between the second and third decade. [lumc.nl]
Pathophysiology
Pathophysiology [ edit ] Osteochondromas result from the growth of aberrant growth plate with cartilage on the bony surface. As the cartilage grows, it forms a cap over a bony mass that develops by progressive enchondral ossification. [en.wikibooks.org]
PATHOPHYSIOLOGY • Osteochondromas are developmental lesions rather than true neoplasms • These lesions result from the separation of a fragment of epiphyseal growth plate cartilage, which subsequently herniates through the periosteal bone cuff • The mechanism [slideshare.net]
Prevention
Dislocation of the radial head may occur earlier than previously thought, hindering its prevention. [ncbi.nlm.nih.gov]
How to prevent the danger? As a preventive measure to avoid injuries, fractures, to monitor the current of hereditary diseases. Also children predisposed to this disease on hereditary indicators need to undergo an annual rentgenologicheski study. [medicalj-center.info]
Typically, the cartilage cap and the perichondrium (dense connective tissue around the cartilage) are also excised in such cases to prevent lesion recurrence. [knowcancer.com]