Periosteal chondroma of the proximal tibia mimicking Osgood-schlatter’s disease

We report a case of a periosteal chondroma of the proximal tibia in an 11-year-old girl, which was initially misdiagnosed as Osgood-Schlatter’s disease. The absence of pain and meticulous analysis of the imaging findings on initial and follow-up plain radiographs, ultrasound and MRI allowed to sugge...

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Main Authors: T Vancauwenberghe, FM Vanhoenacker, J Van Doninck, H Declercq
Format: Article
Language:English
Published: Ubiquity Press 2013-01-01
Series:Journal of the Belgian Society of Radiology
Online Access:https://www.jbsr.be/articles/178
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author T Vancauwenberghe
FM Vanhoenacker
J Van Doninck
H Declercq
author_facet T Vancauwenberghe
FM Vanhoenacker
J Van Doninck
H Declercq
author_sort T Vancauwenberghe
collection DOAJ
description We report a case of a periosteal chondroma of the proximal tibia in an 11-year-old girl, which was initially misdiagnosed as Osgood-Schlatter’s disease. The absence of pain and meticulous analysis of the imaging findings on initial and follow-up plain radiographs, ultrasound and MRI allowed to suggest the diagnosis of a periosteal chondroma, which was confirmed after biopsy. Besides the difficulty in the imaging diagnosis of the lesion, determination of the optimal treatment strategy may be challenging as well. Given the localization of this lesion close to the growth plate, decision has to be made whether the lesion will be treated surgically or a waitful watching policy will be implemented in order to prevent interference with the normal growth of the bone.
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spelling doaj.art-814eb171d86c4e2c84763a05f490494d2022-12-21T19:49:51ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812013-01-01961303310.5334/jbr-btr.178178Periosteal chondroma of the proximal tibia mimicking Osgood-schlatter’s diseaseT Vancauwenberghe0FM Vanhoenacker1J Van Doninck2H Declercq3Department of Radiology and Imaging, H.H. Ziekenhuis, Lier, BelgiumDepartment of Radiology, AZ Sint-Maarten, Duffel-Mechelen, Department of Radiology, Antwerp University Hospital, University of Antwerp, Edegem, Faculty of Medicine and Health Sciences, University of GhentDepartment of Orthopedic Surgery, AZ Sint-Maarten, Duffel-MechelenDepartment of Radiology, AZ Sint-Blasius, DendermondeWe report a case of a periosteal chondroma of the proximal tibia in an 11-year-old girl, which was initially misdiagnosed as Osgood-Schlatter’s disease. The absence of pain and meticulous analysis of the imaging findings on initial and follow-up plain radiographs, ultrasound and MRI allowed to suggest the diagnosis of a periosteal chondroma, which was confirmed after biopsy. Besides the difficulty in the imaging diagnosis of the lesion, determination of the optimal treatment strategy may be challenging as well. Given the localization of this lesion close to the growth plate, decision has to be made whether the lesion will be treated surgically or a waitful watching policy will be implemented in order to prevent interference with the normal growth of the bone.https://www.jbsr.be/articles/178
spellingShingle T Vancauwenberghe
FM Vanhoenacker
J Van Doninck
H Declercq
Periosteal chondroma of the proximal tibia mimicking Osgood-schlatter’s disease
Journal of the Belgian Society of Radiology
title Periosteal chondroma of the proximal tibia mimicking Osgood-schlatter’s disease
title_full Periosteal chondroma of the proximal tibia mimicking Osgood-schlatter’s disease
title_fullStr Periosteal chondroma of the proximal tibia mimicking Osgood-schlatter’s disease
title_full_unstemmed Periosteal chondroma of the proximal tibia mimicking Osgood-schlatter’s disease
title_short Periosteal chondroma of the proximal tibia mimicking Osgood-schlatter’s disease
title_sort periosteal chondroma of the proximal tibia mimicking osgood schlatter s disease
url https://www.jbsr.be/articles/178
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AT jvandoninck periostealchondromaoftheproximaltibiamimickingosgoodschlattersdisease
AT hdeclercq periostealchondromaoftheproximaltibiamimickingosgoodschlattersdisease