SOLITARY DIAPHYSEAL EXOSTOSIS OF THE ULNA: A CASE REPORT OF AN UNCOMMON PRESENTATION
Asian Journal of Advances in Medical Science, Volume 4, Issue 1,
Page 168-171
Abstract
Background: Reporting a case of osteochondroma in an uncommon location in a pediatric patient.
Presentation of Case: A female patient with a history of limited pronation in the right forearm due to a solitary lesion in anterolateral part of distal third of the ulna, features suggesting ostechondroma both in imaging and histopathology.
Discussion: Distal ulnar exostosis are described in the literature in relation with multiple hereditary exostoses disease and deformities in ulna or both forearm bones requiring a surgical intervention but a solitary isolated forearm exostosis is rare.
Conclusion: Osteochondromas in the forearm are rare but they should be considered in the differential diagnosis if features are suggesting it.
- Osteochondroma
- forearm
- ulna
How to Cite
References
De Souza AM, Bispo Júnior RZ. Osteochondroma: ignore or investigate? Rev Bras Ortop. 2014;49(6):555-64.
Faisham WI, Zulmi W. Giant solitary forearm exostosis in a child. Malaysian Orthopaedic Journal 2009; 3(1).
Haque MA, Haque ME, Islam MS, Chowdhury MR. A giant solitary exostosis of the lower ulna in a child. CBMJ. 2012;1(1):30-32.
Jalan D, Agarwal S, Prakash S. Osteochondroma of Proximal Ulna - A rare case presentation. J Orthop Case Rep. 2020; 10(6):1-4.
Gottschalk HP, Kanauchi Y, Bednar MS, Light TR. Effect of osteochondroma location on forearm deformity in patients with multiple hereditary osteochondromatosis. J Hand Surg Am. 2012;37(11):2286-93.
Aycan OE, Sökücü S, Özer D, Çetinkaya E, Arıkan Y, Kabukçuoğlu YS. Primary bone tumors and tumor like lesions of the ulna. Acta Orthop Traumatol Turc. 2019;53(1):30-34.
Masada K, Tsuyuguchi Y, Kawai H, Kawabata H, Noguchi K, Ono K. Operations for forearm deformity caused by multiple osteochondromas. J. Bone Joint Surg. 1989;71(B):24–29.
Exner GU, Von Hochstetter AR, Honegger H , et al. Osseous lesions of the distal ulna: atypical location-unusual diagnosis. Arch Orthop Trauma Surg. 2000;120(3-4):219-223.
Kumara HC, Idulhaq M, Satriadi AB, Saddalqous. Reconstruction using monorail fixator for forearm osteochondroma Masada type I and IIb: A case series. Int J Surg Case Rep. 2021;88:106464.
Cheuk Yip Leung, Alexander K.Y. Choi, Ping Tak Chan, Yuk Yin Chow. Excision of distal ulnar exostosis: A case series and literature review. Journal of Orthopaedics, Trauma and Rehabilitation. 2018;25:49-53.
Fogel GR, Mc Elfresh EC, Peterson HA, Wicklund PT: Management of deformities of the forearm in multiple hereditary osteochondromas. J Bone Joint Surg. 1984; 66(5):670-80.
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