Osteochondroma history and symptoms: Difference between revisions

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==Overview==
==Overview==
==History and Symptoms==
 
*The most common symptom of an osteochondroma is a painless bump near the joints.
The hallmark of osteochondroma is a painless growing [[mass]]. A positive history of [[Langer-Giedion syndrome]], Potocki-Shaffer syndrome, or  metachondromatosis syndrome is highly suggestive of multiple osteochondromas. Symptoms related with osteochondroma will vary depending on the size and location of the tumor. Common symptoms of osteochondroma may include limb [[numbness]], adjacent muscle [[soreness]], and [[claudication]].<ref name="pmid18853760">{{cite journal |vauthors=Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M |title=Osteochondromas: review of the clinical, radiological and pathological features |journal=In Vivo (Athens, Greece) |volume=22 |issue=5 |pages=633–46 |year=2008 |pmid=18853760 |doi= |url=http://iv.iiarjournals.org/cgi/pmidlookup?view=long&pmid=18853760}}</ref><ref name="wiki">Osteochondroma . Wikipedia (2015) https://en.wikipedia.org/wiki/Osteochondroma Accessed on January 28, 2015</ref>
*The knee and shoulder are more commonly involved.
==History==
*Solitary osteochondroma can be found at the ends of any long bone, and along the pelvic and shoulder bones.
*Obtaining the history is an important aspect of making a diagnosis of osteochondroma. It provides insight into natural evolution of the disease. Complete history will help determine the multiplicity or association with other conditions. Specific symptoms description such as duration, onset, and progression are important for making the diagnosis. Specific areas of focus when obtaining the history, are outlined below:<ref name="wiki">Osteochondroma . Wikipedia (2015) https://en.wikipedia.org/wiki/Osteochondroma Accessed on January 28, 2015</ref>
*If the stalk of a pedunculated osteochondroma breaks, pain and swelling may start immediately.
:*History of [[fracture]]s
*An osteochondroma can be located under a tendon. When it is, snapping of the tissue over the tumor may cause activity-related pain.
:*Associated swelling with [[tenderness]].
*An osteochondroma can be located near a nerve or blood vessel, such as behind the knee. When it is, there may be numbness and tingling in that extremity.
:*Growth abnormalities
*A tumor that presses on a blood vessel may cause periodic changes in blood flow. This can cause loss of pulse or changes in color of the limb. Changes in blood flow resulting from an osteochondroma are rare.
:*Positive family history of the following syndromes:<ref name="pmid18853760">{{cite journal |vauthors=Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M |title=Osteochondromas: review of the clinical, radiological and pathological features |journal=In Vivo (Athens, Greece) |volume=22 |issue=5 |pages=633–46 |year=2008 |pmid=18853760 |doi= |url=http://iv.iiarjournals.org/cgi/pmidlookup?view=long&pmid=18853760}}</ref>
::*[[Langer-Giedion syndrome]]
::*Trevor disease
::*Potocki-Shaffer syndrome
::*Metachondromatosis syndrome
 
==Symptoms==
*The majority of osteochondromas are asymptomatic and are usually found incidentally.<ref name="wiki">Osteochondroma . Wikipedia (2015) https://en.wikipedia.org/wiki/Osteochondroma Accessed on January 28, 2015</ref>
*The hallmark of osteochondroma is a painless growing [[mass]].
*Other symptoms of osteochondroma may include:<ref name="wiki">Osteochondroma . Wikipedia (2015) https://en.wikipedia.org/wiki/Osteochondroma Accessed on January 28, 2015</ref>
:*Local [[swelling]]
:*Adjacent muscle soreness
:*Limb pain
:*Activity-related [[pain]] (irritation with heavy exercising)
:*[[Numbness]] in that extremity
:*[[Claudication]]
 
==References==
==References==
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[[Category:Medicine]]
[[Category:Orthopedics]]

Latest revision as of 14:50, 27 November 2017

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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

The hallmark of osteochondroma is a painless growing mass. A positive history of Langer-Giedion syndrome, Potocki-Shaffer syndrome, or metachondromatosis syndrome is highly suggestive of multiple osteochondromas. Symptoms related with osteochondroma will vary depending on the size and location of the tumor. Common symptoms of osteochondroma may include limb numbness, adjacent muscle soreness, and claudication.[1][2]

History

  • Obtaining the history is an important aspect of making a diagnosis of osteochondroma. It provides insight into natural evolution of the disease. Complete history will help determine the multiplicity or association with other conditions. Specific symptoms description such as duration, onset, and progression are important for making the diagnosis. Specific areas of focus when obtaining the history, are outlined below:[2]
  • History of fractures
  • Associated swelling with tenderness.
  • Growth abnormalities
  • Positive family history of the following syndromes:[1]

Symptoms

  • The majority of osteochondromas are asymptomatic and are usually found incidentally.[2]
  • The hallmark of osteochondroma is a painless growing mass.
  • Other symptoms of osteochondroma may include:[2]

References

  1. 1.0 1.1 Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M (2008). "Osteochondromas: review of the clinical, radiological and pathological features". In Vivo (Athens, Greece). 22 (5): 633–46. PMID 18853760.
  2. 2.0 2.1 2.2 2.3 Osteochondroma . Wikipedia (2015) https://en.wikipedia.org/wiki/Osteochondroma Accessed on January 28, 2015

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