Osteochondroma surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
* Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton | * Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).<ref name="pmid10992031">{{cite journal |vauthors=Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH |title=Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation |journal=Radiographics : a Review Publication of the Radiological Society of North America, Inc |volume=20 |issue=5 |pages=1407–34 |year=2000 |pmid=10992031 |doi=10.1148/radiographics.20.5.g00se171407 |url=http://pubs.rsna.org/doi/10.1148/radiographics.20.5.g00se171407?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed}}</ref> | ||
* This approach decreases the chance of the tumoral recurrence | * This approach decreases the chance of the tumoral recurrence | ||
* Pedunculated osteochondromas are more easily removed | * Pedunculated osteochondromas are more easily removed | ||
* [[Solitary]] osteochondromas are not removed surgically; | * [[Solitary]] osteochondromas are not removed surgically; observation surveillance is suggested.<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> | ||
* Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.<ref name="wikibook">Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016</ref> | * Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.<ref name="wikibook">Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016</ref> | ||
==Indications== | ===Indications=== | ||
Indications for surgery for osteochondroma, include:<ref name="pmid10992031">{{cite journal |vauthors=Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH |title=Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation |journal=Radiographics : a Review Publication of the Radiological Society of North America, Inc |volume=20 |issue=5 |pages=1407–34 |year=2000 |pmid=10992031 |doi=10.1148/radiographics.20.5.g00se171407 |url=http://pubs.rsna.org/doi/10.1148/radiographics.20.5.g00se171407?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed}}</ref> | Indications for surgery for osteochondroma, include:<ref name="pmid10992031">{{cite journal |vauthors=Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH |title=Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation |journal=Radiographics : a Review Publication of the Radiological Society of North America, Inc |volume=20 |issue=5 |pages=1407–34 |year=2000 |pmid=10992031 |doi=10.1148/radiographics.20.5.g00se171407 |url=http://pubs.rsna.org/doi/10.1148/radiographics.20.5.g00se171407?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed}}</ref> | ||
:* Pain with physical activity | :* Pain with physical activity | ||
:* Bone deformity | :* [[Bone]] deformity | ||
:* Limited range of motion | :* Limited range of motion | ||
:* Compromised nerve or blood vessel | :* Compromised [[nerve]] or [[blood]] vessel | ||
:* Irregular large cap of cartilage (> 2cm)<ref name="wikibook">Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016</ref> | :* Irregular large cap of [[cartilage]] (> 2cm)<ref name="wikibook">Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016</ref> | ||
==References== | ==References== | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Oncology]] | [[Category:Oncology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Orthopedics]] | |||
Latest revision as of 14:51, 27 November 2017
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Osteochondroma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Osteochondroma surgery On the Web |
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American Roentgen Ray Society Images of Osteochondroma surgery |
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Risk calculators and risk factors for Osteochondroma surgery |
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 for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).[1]
Surgery
- Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).[2]
- This approach decreases the chance of the tumoral recurrence
- Pedunculated osteochondromas are more easily removed
- Solitary osteochondromas are not removed surgically; observation surveillance is suggested.[3]
- Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.[1]
Indications
Indications for surgery for osteochondroma, include:[2]
References
- ↑ 1.0 1.1 1.2 Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016
- ↑ 2.0 2.1 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.
- ↑ 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.