Acta Scientific Clinical Case Reports

Case StudyVolume 4 Issue 4

Management of Osteochondroma: A Case Series

Tella Azeez Olalekan* and Stephen Yusuf

Department of Orthopaedics and Traumatology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi State, Nigeria

*Corresponding Author: Tella Azeez Olalekan, Department of Orthopaedics and Traumatology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi State, Nigeria.

Received: February 10, 2023; Published: March 01, 2023


Osteochondroma is a benign tumor of the bone that occurs during childhood or adolescence. It forms on the surface of bones near the growth plate and compose of bony portion with a cartilaginous cap. Asymptomatic growths are managed conservatively. Excision is done in cases of pain, discomfort or for cosmetic reasons. The aim was to conduct a review of cases of Osteochondroma managed at our institution.

Between November 2015 and April 2016, 3 cases were managed in our facility, 2 of the patients were females (ages 9 and 10) while the third patient is a male, 30years. Duration of symptoms prior to presentation ranges from 2-9years. There was a case of multiple exostoses (both shoulders, ribs, and the distal tibia) while the remaining two have solitary exostosis (pelvis and distal radius). All patients were evaluated using plain radiographs and computed tomographic scan was done for the case located within the pelvis. The indication for excision ranges from pain and discomfort to difficulty in ambulation. All patients had excision based on the indication at evaluation. Follow up period was 24 months. There were significant improvements in the symptoms after excision and there was no case of recurrence after excision. All patients were satisfied with the procedure. Excision of symptomatic cases of solitary or multiple exostoses is the mainstay of management of this benign bone tumour.

Keywords: Osteochondroma; Childhood; Radiographs


  1. Khurana J., et al. “Osteochondroma”. In World health organization classification of tumours. pathology and genetics. Tumours of soft tissue and bone, Fletcher CDM, Unni KK, Mertens F (eds). 234-236.
  2. Huvos AG. “Bone tumors. Diagnosis, treatment, and prognosis (2 edn)”. W.B. Saunders Company: Philadelphia (1991).
  3. Cooper A. “Exostosis”. In Surgical Essays, (3 edn). Cooper A, Travers B (eds). Cox&Son: London. (1818): 169-226.
  4. Mulder JD., et al. “Radiologic atlas of bone tumors (2 edn)”. Elsevier: Amsterdam (1993).
  5. Huvos AG. “Bone tumors. Diagnosis, treatment, and prognosis (2 edn)”. W.B. Saunders Company: Philadelphia (1991).
  6. Liesbeth Hameetman Judith VMG., et al. “Multiple Osteochondromas: Clinicopathologic and genetic spectrum and suggestions for clinical management”. Hereditary Cancer in Clinical Practice4 (2004): 161-173.
  7. Bertoni F., et al. “Chondrosarcoma. In World Health Organisation classification of tumours”. Pathology and genetics of tumours of soft tissue and bone, Fletcher CDM,Unni KK, Mertens F (eds). IARC Press: Lyon (2002): 247-251.
  8. Bovée JV. “Múltiple osteochondromas”. Orphanet Journal of Rare Diseases 3 (2008): 3.
  9. Murphey MD., et al. “Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation”. Radiographics 5 (2000): 1407-1434.
  10. Cury SE., et al. “Soft tissue osteochondroma of the articular disc of the temporomandibular joint: A Case Report”. Webmedcentral Histopathology 2 (2011): 1-7.
  11. Wuisman PI., et al. “Secondary chondrosarcoma in osteochondromas: medullary extension in 15 of 45 cases”. Acta Orthopaedica Scandinavica 68 (1997): 396-400.
  12. Biermann JS. “Common benign lesions of bone in children and adolescents”. Journal of Paediatric Orthopaedics 22 (2002): 268-273.
  13. Mohammed A and Isa HA. “Pattern of primary tumours and tumour-like lesions of Bone in Zaria, Northern Nigeria: A Review of 127 Cases”. West Africa Journal of Medicine 1 (2007): 37-41.
  14. Kikum M. “Radiographic evaluation of solitary bone lesions”. Orthopedic Clinics of North America 14 (1983): 48-49.
  15. Kitsoulis P., et al. “Osteochondromas: review of the clinical, radiological and pathological features”. In Vivo 5 (2008): 633-646.
  16. Willms R., et al. “Malignant transformation of a multiple cartilaginous exostosis - a case report”. International Orthopaedics 21 (1997): 133-136.

Citation: Tella Azeez Olalekan and Stephen Yusuf. “Management of Osteochondroma: A Case Series". Acta Scientific Clinical Case Reports 4.4 (2023): 04-08.

Copyright: © 2022 Tella Azeez Olalekan and Stephen Yusuf. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US