Osteochondroma surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
* Surgery for osteochondroma should be considered, until growth is complete ( | * Surgery for osteochondroma should be considered, until growth is complete (assessed by mature skeleton by 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. | |||
* 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. | * Most of the time, [[solitary]] osteochondroma is not removed surgically. Observational surveillance is suggested. | ||
*Surgery may be considered if the osteochondroma: | * Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage | ||
*Surgery may be considered if the osteochondroma:<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> | |||
:* Is causing pain with activity | :* Is causing pain with activity | ||
:* Compromised nerve or blood vessel | :* Compromised nerve or blood vessel | ||
Revision as of 22:21, 28 January 2016
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Osteochondroma Microchapters |
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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
- 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
- ↑ 1.0 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.