Osteochondroma surgery: Difference between revisions
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* Pedunculated osteochondromas are more easily removed. | * Pedunculated osteochondromas are more easily removed. | ||
* [[Solitary]] osteochondromas are not removed surgically; observational surveillance is suggested. | * [[Solitary]] osteochondromas are not removed surgically; observational surveillance is suggested. | ||
* Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.<ref name= | * 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== |
Revision as of 16:59, 29 January 2016
Osteochondroma Microchapters |
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Treatment |
Case Studies |
Osteochondroma surgery On the Web |
American Roentgen Ray Society Images of Osteochondroma surgery |
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 bone 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.
- Solitary osteochondromas are not removed surgically; observational surveillance is suggested.
- Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.[2]
Indications
Indications for surgery for osteochondroma, include:[1]
- Pain with physical activity
- Bone deformity
- Limited range of motion
- Compromised nerve or blood vessel
- Irregular large cap of cartilage (> 2cm)[2]
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.
- ↑ 2.0 2.1 Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016