DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20163132

Atypical presentation of intra-articular osteochondroma of knee in adolescent- case report

Anil Kumar Sharma, Gaurav Garg, Rajkumar Harshawal, Umesh Meena, Arun Partani

Abstract


Osteochondroma is most common benign bone tumor around knee joint. They occur during the period of growth, grows away from joint line and rarely responsible for mechanical symptoms. This paper reports a rare presentation of intra-articular osteochondroma in knee with mechanical instability symptoms, mild to moderate pain and swelling of knee joint. Patient was 20 years old male and misdiagnosed as chronic nonspecific synovitis, tubercular arthritis and anterior cruciate ligament tear of knee. We assessed him clinically and radiologically and diagnosis was established based on MRI and arthroscopy. He was treated by open excision of tumor, and patients recover uneventfully. Instability of knee joint in this case can be attributed due to rough surface of osteochondroma just beneath lower attachment of patellar tendon.


Keywords


Intra-articluar, Osteochondroma, Knee, Instability

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References


Haaga JR, Dogra VS, Frosting M, Gilkeson RC, Sundaram M. CT and MRI of whole body. 5th ed. Vol. 2. Philadelphia, PA: Mosby Elsevier; 2009: 2134–2135.

Siebenrock KA, Ganz R. Osteochondroma of the femoral neck. Clin Orthop Relat Res. 2002;(394):211-8.

Rizzello G, Franceschi F, Meloni MC, Cristi E, Barnaba SA, Rabitti C, et al. Para-articular osteochondroma of the knee. Arthroscopy. 2007;23:910.

Sanga L, Goswami G. Intra-articular osteochondroma: A case report. NHL J Med Sci. 2013;2:1.

Singh R, Jain M, Siwach R, Rohilla S, Sen R, Kaur K. Large para-articular osteochondroma of the knee joint: A case report. Acta Orthop Traumatol Turc. 2012;46:139-43.

Resnick D, Kransdorf M. Bone and Joint Imaging. 3rd ed. Vol. 2. Philadelphia, PA: Elsevier and Saunders; 2005: 1146–1149.

Schmoyer S, Ciullo JV. Arthroscopic resection of an osteochondroma of the knee. Arthroscopy. 2001;17:765-7.

Takahashi M, Nishihara A, Ohishi T, Shiga K, Yamamoto K, Nagano A. Arthroscopic resection of an intra-articular osteochondroma of the knee in the patient with multiple osteochondromatosis. Arthroscopy. 2004;20(2):28-31.

Jong IK, Jae HK, Yong JP, Vivian RA, Shaishav MS, Kyung WN. Arthroscopic Excision of Solitary Intra-articular Osteochondroma of the Knee. Knee Surg Relat Res. 2013;25(1):36-9.

Giudici M, Moser R, Kransdorf M. Cartilaginous bone tumors. Radiol Clin North Am. 1993;31:237-59.

Garrison RC, Unni KK, McLeod RA, Pritchard DJ, Dahlin DC. Chondrosarcoma arising in osteochondroma. Cancer. 1982;49:1890-7.

Reith JD, Bauer TW, Joyce MJ. Para articular osteochondroma of the knee: report of 2 cases and review of the literature. Clin Orthop Relat Res. 1997;(334):225-32.