Osteochondroma

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Left knee region slowly growing long standing swelling.

Patient Data

Age: 40 years
Gender: Female
x-ray

A large pedunculated mass lesion arising from the anterior aspect of left tibial proximal  metaphysis projecting away from the epiphysis.

A similar small lesion is noted in the distal tibial metaphysis as well.

There are two transverse lines involving tibial proximal metaphysis representing Harris lines or growth arrest lines.

Case Discussion

15-20% of osteochondromas are located in the proximal tibia.

Multiple lesions can be seen in Hereditary multiple exostoses (diaphyseal aclasis).

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