Home / Case Study / Case No. 29: Solitary Osteochondroma

Case No. 29: Solitary Osteochondroma

Case No. 29: Solitary Osteochondroma.

Solitary Osteochondroma
Case No. 29: Solitary Osteochondroma

Modality:

X-Ray of Hip Joint.

Report Of Solitary Osteochondroma:

A large irregular mixed type of lesion seen arising from the intertrochanteric region of the femur, with zones of increased and decreased radiodensity. No cortical break or periosteal reaction noted. Normal hip joint.

Differential Diagnosis:

  • Fibrous dysplasia
  • Intraosseous Lipoma
  • Chondromyxoid fibroma
  • Liposclerosing myxoid tumor
  • Osteochondroma

Diagnosis:

Solitary Osteochondroma

Key Points:

More than 30% of solitary osteochondromas arise from the femur. Pedunculated or sessile cartilage-covered osseous excrescence arising from the surface of the metaphysis of the distal or proximal portion of the femur. Cortex and medulla are continuous with the host bone. Typically, grow away from the adjacent joint. Pedunculated lesions can fracture

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