Osteochondroma surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

Surgery is the mainstay of therapy for osteochondroma.

Surgery

  • Surgery for osteochondroma should be considered, until growth is complete (assessed by mature skeleton by x-ray evaluation).[1]
  • This approach decreases the chance of the tumoral recurrence.
  • Pedunculated osteochondromas are more easily removed.
  • Surgical treatment is intended to correct the associated bone deformities rather than restricted to the exostoses alone.
  • Most of the time, solitary osteochondroma is not removed surgically. Observational surveillance is suggested.
  • Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage
  • Surgery may be considered if the osteochondroma:[1]
  • Is causing pain with activity
  • Compromised nerve or blood vessel
  • Irregular large cap of cartilage

References

  1. 1.0 1.1 Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000). "Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation". Radiographics : a Review Publication of the Radiological Society of North America, Inc. 20 (5): 1407–34. doi:10.1148/radiographics.20.5.g00se171407. PMID 10992031.

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