Proximal clavicular osteochondroma: A report of an unusual site

Background: Osteochondromas are benign surface tumors that comprise a large sum of all bone tumors. They can present as solitary lesions or part of a collective such as in hereditary multiple osteochondromas (HMO). Generally, they are asymptomatic but can present in some cases with complications suc...

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Main Authors: Motaip H. Alrawili, Rakan Aldusari, Samir Alsayegh, Faten Al Robian
Format: Article
Language:English
Published: Elsevier 2022-02-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576621003730
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author Motaip H. Alrawili
Rakan Aldusari
Samir Alsayegh
Faten Al Robian
author_facet Motaip H. Alrawili
Rakan Aldusari
Samir Alsayegh
Faten Al Robian
author_sort Motaip H. Alrawili
collection DOAJ
description Background: Osteochondromas are benign surface tumors that comprise a large sum of all bone tumors. They can present as solitary lesions or part of a collective such as in hereditary multiple osteochondromas (HMO). Generally, they are asymptomatic but can present in some cases with complications such as pain, Horner syndrome, plexopathy, tendinopathy, and even erosion into adjacent structures. Methods: We present one case of clavicular osteochondroma that presented in our clinic and was treated surgically and later confirmed using histopathology. The patient's health record was reviewed for the following: demographics, visits, imaging modalities, management, outcome, and histopathology. Results: Our 14-year-old patient had X-rays and ultrasound studies done, revealing characteristics of osteochondroma of the clavicle. The size of the lesion and resulting cosmetic deformity warranted surgical intervention. Osteotomy was done and the specimen was sent to histopathology which confirmed the prior suspicion of osteochondroma. Conclusions: Osteochondromas are mostly benign and asymptomatic but can develop serious complications. Thus, early detection and diligent observation, especially in young patients, are essential to prevent degeneration or complications.
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spelling doaj.art-340207b363634cffa02015ca5047480a2022-12-21T19:21:08ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-02-0177102152Proximal clavicular osteochondroma: A report of an unusual siteMotaip H. Alrawili0Rakan Aldusari1Samir Alsayegh2Faten Al Robian3Department of Pediatric Surgery, Department, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia; Department of Pediatric Surgery, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Department of Pediatric Surgery, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Corresponding author.Department of Pediatric Surgery, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Department of Pediatric Surgery, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Division of Pediatric Orthopedic Surgery, Department of Pediatric Surgery, King Abdullah Specialist Children Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaDepartment of Pediatric Surgery, Department, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia; Department of Pediatric Surgery, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Department of Pediatric Surgery, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaBackground: Osteochondromas are benign surface tumors that comprise a large sum of all bone tumors. They can present as solitary lesions or part of a collective such as in hereditary multiple osteochondromas (HMO). Generally, they are asymptomatic but can present in some cases with complications such as pain, Horner syndrome, plexopathy, tendinopathy, and even erosion into adjacent structures. Methods: We present one case of clavicular osteochondroma that presented in our clinic and was treated surgically and later confirmed using histopathology. The patient's health record was reviewed for the following: demographics, visits, imaging modalities, management, outcome, and histopathology. Results: Our 14-year-old patient had X-rays and ultrasound studies done, revealing characteristics of osteochondroma of the clavicle. The size of the lesion and resulting cosmetic deformity warranted surgical intervention. Osteotomy was done and the specimen was sent to histopathology which confirmed the prior suspicion of osteochondroma. Conclusions: Osteochondromas are mostly benign and asymptomatic but can develop serious complications. Thus, early detection and diligent observation, especially in young patients, are essential to prevent degeneration or complications.http://www.sciencedirect.com/science/article/pii/S2213576621003730ExostosisOsteochondromaClavicleTumorBenign
spellingShingle Motaip H. Alrawili
Rakan Aldusari
Samir Alsayegh
Faten Al Robian
Proximal clavicular osteochondroma: A report of an unusual site
Journal of Pediatric Surgery Case Reports
Exostosis
Osteochondroma
Clavicle
Tumor
Benign
title Proximal clavicular osteochondroma: A report of an unusual site
title_full Proximal clavicular osteochondroma: A report of an unusual site
title_fullStr Proximal clavicular osteochondroma: A report of an unusual site
title_full_unstemmed Proximal clavicular osteochondroma: A report of an unusual site
title_short Proximal clavicular osteochondroma: A report of an unusual site
title_sort proximal clavicular osteochondroma a report of an unusual site
topic Exostosis
Osteochondroma
Clavicle
Tumor
Benign
url http://www.sciencedirect.com/science/article/pii/S2213576621003730
work_keys_str_mv AT motaiphalrawili proximalclavicularosteochondromaareportofanunusualsite
AT rakanaldusari proximalclavicularosteochondromaareportofanunusualsite
AT samiralsayegh proximalclavicularosteochondromaareportofanunusualsite
AT fatenalrobian proximalclavicularosteochondromaareportofanunusualsite