Osteochondroma is usually asymptomatic. Only when the tumor increases in size can there be symptoms. The following symptoms and complaints may indicate osteochondroma: Swelling of the affected area, not painful. Pain in the adjacent muscles Restriction of movement – bending and/or extending ability of the affected joint may be impaired Pressure-sensitive bursa over the affected … Osteochondroma: Symptoms, Complaints, Signs
Pathogenesis (disease development) Osteochondroma is a benign (benign) bone growth. It develops spontaneously during body growth due to excessive growth of bone and cartilage. In this process, parts of the growing cartilage extend from the metaphyseal epiphyseal joint (growth zone) into the soft tissues. This so-called exostosis (bony outgrowth developing from the bone surface) initially … Osteochondroma: Causes
General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea). Aim for normal weight! … Osteochondroma: Therapy
The medical history (history of the patient) represents an important component in the diagnosis of osteochondroma. Family history Are there any diseases in your family that are common? (Tumor diseases) Social anamnesis Current medical history/systemic history (somatic and psychological complaints). Have you noticed any swelling or deformity in the joints and/or bones* ? Is your … Osteochondroma: Medical History
Musculoskeletal system and connective tissue (M00-M99). Dysplasia epiphysealis hemimelica (synonym: Trevor’s disease) – histologically similar changes to osteochondroma, with an osseous base and a cartilage cap with enchondral ossification (ossification); disease of childhood and adolescence. Neoplasms – tumor diseases (C00-D48). Other bone tumors – parosteal osteosarcoma, juxtacortical chondrosarcoma, periosteal chondroma. Osteochondromatosis, familial – multiple osteocartilaginous … Osteochondroma: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by osteochondroma: Endocrine, nutritional, and metabolic diseases (E00-E90). Obesity – due to limited mobility. Musculoskeletal system and connective tissue (M00-M99). Bursitis (bursitis) in the affected area. Restriction of movement due to limitation of joint activity. Joint deformities, oblique or short stature … Osteochondroma: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Extremities: [swelling? Deformities in joints, bones? Paresthesias (numbness)?] Spine, thorax (chest). Gait pattern (fluid, limping) Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, … Osteochondroma: Examination
Therapy goals In case of symptoms: surgical removal of the osteochondroma (see “Surgical therapy“). Restoration/maintenance of mobility Relief of pain Therapy recommendations Analgesia according to WHO staging scheme: Non-opioid analgesic (paracetamol, first-line agent). Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic.
Obligatory medical device diagnostics. Conventional radiography of the affected body region and adjacent joints, in two planes – because of their cartilaginous component, osteochondromas are not fully detected on radiographs Magnetic resonance imaging (MRI; computer-assisted cross-sectional imaging method (using magnetic fields, i.e., without X-rays)) – for the purpose of differentiation from other bone tumors and … Osteochondroma: Diagnostic Tests
As soon as an osteochondroma causes discomfort, it must be resected (surgically removed). If necessary, any deformities that develop during the procedure can be corrected by osteotomy (cutting through bone). Indications for surgical intervention are: Impairment of mobility (ability to bend and/or extend the affected joint). Deformities, malformations of nearby bone areas. Pain Suspicion of … Osteochondroma: Surgical Therapy
