Académique Documents
Professionnel Documents
Culture Documents
• Other names:
Cartilage caped exostosis
Osteo-cartilaginous exostosis
• Osteochondroma is a bony exostosis
projecting from the external surface of a bone
• It is usually has a hyaline lined cartilaginous
cap
• The cortex and spongiosa of the lesion merge
with that of the parent bone
GENERAL CONSIDERATIONS
• The mechanism likely results from the remodeling during growth of the
long bone.
Histology:
•Covered by thin layer of periosteum.
•Binucleate chondrocytes in lacunae.
•Contains hyaline cartilage, bony
tissue & normal bone marrow particle.
LOCATION
(common)
BONE PERCENTAGE
Femur 34
Humerus 18
Tibia 15
Pelvis 8
Scapula 5
Ribs 3
UNCOMMON SITES (17%)
• Metacarpals
• Talus
• Calcaneus
• Spine
Solitary
Osteochondroma
Lateral radiograph of a
sessile
osteochondroma of the
distal femur.
PEDUNCULATED VARIANT
Solitary osteochondroma
Lateral radiograph of a
pedunculated
osteochondroma of the
distal femur.
CLINICAL FEATURES
• Most are asymptomatic
Fracture 7
Deformity 23
Vascular injury 7
Neurological compromise 10
Mechanical irritation 10
SESSILE VARIANT
• Creates a broad based exostosis lacking an elongated
projection
CLINICAL
1. Growth of lesion after skeletal maturity
2. Pelvis / shoulder (mostly sessile variety)
3. < 1 % in solitary , > 10% in HME
4. Increasing mass and pain at the site of
lesion in absence of fracture, bursitis or
nerve compression
MALIGNANT TRANSFORMATION
RADIOLOGICAL
1. Visualized cartilage cap measures >2 cm in
adults and >3 cm in children
2. Bone destruction
3. Dispersed calcification in cartilaginous cap
4. Soft tissue mass
5. Altered appearance on sequential studies
6. Increase uptake in bone scan (Unrelaible)
Associations and
Syndromes
Hereditary multiple exostoses (diaphyseal
aclasis)
• Autosomal dominant condition
• Short stature
• Multiple osteochondromas
Radiographic Features
• WEB:
1. http://radiopaedia.org/articles/osteochondroma
2. http://www.learningradiology.com/archives2007/COW
%20243-
Osteochondroma/osteochondromacorrect.html
THANK YOU…