Jalan Divesh, Agarwal Saumya, Prakash Shivank
Department of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
J Orthop Case Rep. 2020 Sep;10(6):1-4. doi: 10.13107/jocr.2020.v10.i06.1850.
Osteochondroma is a most common primary bone tumor which forms due to exophytic protuberance on the surface of growing bones. Proximal ulna is an atypical location for osteochondroma. The case report is a rare solitary presentation and has been only twice reported in the literature.
This case reports a rare presentation of a 35 year old Hindu male with osteochondroma at proximal ulna which is painful with terminal restriction of the elbow joint movement. Surgical excision was performed and histopathology confirmed the diagnosis. Patient was asymptomatic with full range of movement of the elbow joint at 2 months of follow-up and there were no signs of recurrence at 2 years of follow-up.
Atypical presentation is a possibility; therefore, surgeon should always keep in mind the possibility of the tumor and accurately diagnose the tumor with the help of imaging modalities and biopsy.
骨软骨瘤是最常见的原发性骨肿瘤,由生长中骨骼表面的外生性突起形成。尺骨近端是骨软骨瘤的非典型发病部位。该病例报告为罕见的单发表现,文献中仅报道过两例。
本病例报告了一名35岁印度教男性的罕见病例,其尺骨近端患有骨软骨瘤,伴有疼痛且肘关节活动终末受限。进行了手术切除,组织病理学确诊了诊断。随访2个月时患者肘关节活动范围正常且无症状,随访2年时无复发迹象。
可能会出现非典型表现;因此,外科医生应始终牢记肿瘤的可能性,并借助影像学检查和活检准确诊断肿瘤。