Osteochondroma

dr. GatotAndrian
Ibrahim,
Astoguno
SpOT (K).
B.PSpine
Fakultas Kedokteran Universitas Trisakti
Rumah Sakit Umum Daerah Bekasi

INCIDENCE
Benign Neoplasms and

Malignant
Neoplasms
Neoplasm-like
Lesion

5 % Childhood
1 % all ages groups

Secondary
Primary
Lesions
Neoplasm

DIAGNOSIS
SwellingPain
of a Benign Lesion
Unexplained

OSTEOCHONDROM
A

CLINICALLY
CLINICAL

Cartilage
Lump
or growth
mechanica
Active
problem
during puberty
capped
exostosis
Tendon
nerve
Move or
towards
irritation
Commonest
diaphysis
benign
tumour
during
growth
bone or
of
Sessile
pedunculated
Excise if
Metaphyseal
troublesome
developmental
50%
distal femur,
in second
abnormality
proximal
decade tibia,
proximal humerus

RADIOLOGY

Flat/ sessile /
pedunculated
Tumour blending
into metaphysis
Pedunculated
orientated
proximally
Cartilage cap with
calcification

PATHOLOGY

Normal bone covered by normal cartilage

cap

Covered by thin layer of

periosteum
Cartilage cap resembles normal growth
plate

Binucleate chondrocytes in
lacunae
Cartilage more disorganized

Not all osteochondromata require treatment

TREATMENT
Extra-capsular marginal excision
Recurrence < 5%

KEPUSTAKAAN

Textbook of disorders and injuries of the

musculoskeletal system
3th Edition. Robert Bruce Salter

System of Orthopaedics and Fractures Apleys 9t

Edition.
Bone Tumor 3th Edition. David C. Dahlin, M.D.
Atlas of Orthopaedic Pathology with
Clinical and Radiologic Correlations, Peter
G.Bullough
Orthopedic Radiology a Practical
Approach, Adam Greenspan

TERIMA KASIH