Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report,
The aim was to report on a rare case of osteochondroma of the left ischium, which evolved with compression of the sciatic nerve, thus causing sciatic pain in the homolateral lower limb. The patient was female and presented sciatic pain that was treated clinically for one year. However, the pain evol...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2014-06-01
|
Series: | Revista Brasileira de Ortopedia |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300313&lng=en&tlng=en |
_version_ | 1797329477113479168 |
---|---|
author | Frederico Barra de Moraes Paulo Silva Rogério Andrade do Amaral Frederico Faleiro Ramos Rômulo Orlando Silva Diogo Azevedo de Freitas |
author_facet | Frederico Barra de Moraes Paulo Silva Rogério Andrade do Amaral Frederico Faleiro Ramos Rômulo Orlando Silva Diogo Azevedo de Freitas |
author_sort | Frederico Barra de Moraes |
collection | DOAJ |
description | The aim was to report on a rare case of osteochondroma of the left ischium, which evolved with compression of the sciatic nerve, thus causing sciatic pain in the homolateral lower limb. The patient was female and presented sciatic pain that was treated clinically for one year. However, the pain evolved with increasing intensity and worsened with hip movement. This was associated with diminished motor force and paresthesia of the homolateral lower limb. Radiological investigation of the region showed a bone lesion in the external portion of the left ischium, in the path of the sciatic nerve. Tomographic reconstruction showed cortical continuity with the bone of origin, i.e., a pattern characteristic of osteochondroma. En-bloc resection of the lesion was performed using the Kocher-Langerbeck route, and the anatomopathological analysis proved that it was an osteochondroma. The patient's neurological symptoms improved and, after two months of follow-up, she remained asymptomatic and without any signs of recurrence. Since osteochondroma is the commonest benign bone tumor, it should be taken into consideration in the diagnostic investigation of compressive tumor lesions that could affect the sciatic nerve. |
first_indexed | 2024-03-08T07:06:08Z |
format | Article |
id | doaj.art-daacad5c245a4bb9ad2476cdfca0e2c3 |
institution | Directory Open Access Journal |
issn | 1982-4378 |
language | English |
last_indexed | 2024-03-08T07:06:08Z |
publishDate | 2014-06-01 |
publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
record_format | Article |
series | Revista Brasileira de Ortopedia |
spelling | doaj.art-daacad5c245a4bb9ad2476cdfca0e2c32024-02-03T04:52:08ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782014-06-0149331331610.1016/j.rboe.2014.04.005S0102-36162014000300313Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report,Frederico Barra de MoraesPaulo SilvaRogério Andrade do AmaralFrederico Faleiro RamosRômulo Orlando SilvaDiogo Azevedo de FreitasThe aim was to report on a rare case of osteochondroma of the left ischium, which evolved with compression of the sciatic nerve, thus causing sciatic pain in the homolateral lower limb. The patient was female and presented sciatic pain that was treated clinically for one year. However, the pain evolved with increasing intensity and worsened with hip movement. This was associated with diminished motor force and paresthesia of the homolateral lower limb. Radiological investigation of the region showed a bone lesion in the external portion of the left ischium, in the path of the sciatic nerve. Tomographic reconstruction showed cortical continuity with the bone of origin, i.e., a pattern characteristic of osteochondroma. En-bloc resection of the lesion was performed using the Kocher-Langerbeck route, and the anatomopathological analysis proved that it was an osteochondroma. The patient's neurological symptoms improved and, after two months of follow-up, she remained asymptomatic and without any signs of recurrence. Since osteochondroma is the commonest benign bone tumor, it should be taken into consideration in the diagnostic investigation of compressive tumor lesions that could affect the sciatic nerve.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300313&lng=en&tlng=enOncologiaOrtopediaNervo ciáticoPelveCiática |
spellingShingle | Frederico Barra de Moraes Paulo Silva Rogério Andrade do Amaral Frederico Faleiro Ramos Rômulo Orlando Silva Diogo Azevedo de Freitas Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report, Revista Brasileira de Ortopedia Oncologia Ortopedia Nervo ciático Pelve Ciática |
title | Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report, |
title_full | Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report, |
title_fullStr | Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report, |
title_full_unstemmed | Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report, |
title_short | Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report, |
title_sort | solitary ischial osteochondroma an unusual cause of sciatic pain case report |
topic | Oncologia Ortopedia Nervo ciático Pelve Ciática |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300313&lng=en&tlng=en |
work_keys_str_mv | AT fredericobarrademoraes solitaryischialosteochondromaanunusualcauseofsciaticpaincasereport AT paulosilva solitaryischialosteochondromaanunusualcauseofsciaticpaincasereport AT rogerioandradedoamaral solitaryischialosteochondromaanunusualcauseofsciaticpaincasereport AT fredericofaleiroramos solitaryischialosteochondromaanunusualcauseofsciaticpaincasereport AT romuloorlandosilva solitaryischialosteochondromaanunusualcauseofsciaticpaincasereport AT diogoazevedodefreitas solitaryischialosteochondromaanunusualcauseofsciaticpaincasereport |