Sharma Jeevan Kumar, Gupta Anuj, Ansari Md Neshar
Indian Spinal Injuries Centre, Vasantkunj, New Delhi, 110070, India.
Max Superspeciality Hospital, Ghaziabad, Uttar Pradesh, 201012, India.
J Clin Orthop Trauma. 2025 May 21;68:103068. doi: 10.1016/j.jcot.2025.103068. eCollection 2025 Sep.
Osteochondromas of the pelvis are benign bone tumors. They might be accidently discovered during imaging studies and can stay inactive without causing any symptoms. However, as they grow larger, they may cause compressive symptoms in adjacent areas. A 17-year-old male presented with a history of back strain sustained while participating in sports. He experienced shooting pain radiating down his left leg, following the L4 dermatome pattern. Nerve irritation tests, such as the straight leg raise test and reported paresthesia in the L4 dermatome, were positive. The classic symptoms and clinical findings lead to an initial tentative diagnosis of a prolapsed intervertebral disc with no "red flags" symptoms. He was prescribed conservative treatment. However, there was no alleviation of pain over the next six weeks, at which point an MRI (Magnetic Resonance Imaging) identified an osteochondroma of Iliac crest. Following the excision of the lesion, the patient made a complete recovery without recurrence of lesion. Osteochondromas continue to perplex healthcare professionals as they can arise in isolated form at various location of bones. Pelvic osteochondroma leading to radicular symptom is very unusual. The primary treatment approach for symptomatic cases are to surgically remove the lesion.
骨盆骨软骨瘤是良性骨肿瘤。它们可能在影像学检查中被偶然发现，并且可能处于静止状态而不引起任何症状。然而，随着它们不断长大，可能会在邻近区域引起压迫症状。一名17岁男性患者，有在参加体育活动时背部拉伤的病史。他经历了沿L4皮节分布向下放射至左腿的刺痛。神经激惹试验，如直腿抬高试验以及L4皮节区的感觉异常报告均为阳性。这些典型症状和临床发现初步诊断为腰椎间盘突出症，且无“警示”症状。他接受了保守治疗。然而，在接下来的六周里疼痛并未缓解，此时磁共振成像（MRI）检查发现髂嵴骨软骨瘤。病变切除后，患者完全康复，病变未复发。骨软骨瘤继续困扰着医疗专业人员，因为它们可以孤立地出现在骨骼的不同部位。导致神经根症状的骨盆骨软骨瘤非常罕见。有症状病例的主要治疗方法是手术切除病变。
