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Published in: BMC Musculoskeletal Disorders 1/2006

Open Access 01-12-2006 | Case report

Extra-osseous osteochondroma-like soft tissue mass of the patello-femoral space

Authors: Francesco Oliva, Alessandro Marconi, Stefano Fratoni, Nicola Maffulli

Published in: BMC Musculoskeletal Disorders | Issue 1/2006

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Abstract

Background

Extraskeletal cartilaginous tumors are uncommon. Osteochondromas usually arise from the metaphyseal region of the growing skeleton.

Case presentation

A 53 year old man presented with a three years history of anterior knee pain and inability to flex his knee more than 90°. Clinical examination and imaging studies revealed a nodular calcific mass in the anterior portion of the knee, displacing the medial portion of the patellar tendon. Following excision, histopathology confirmed the diagnosis of extra-osseous osteochondroma-like soft tissue mass, with no recurrence 24 months after surgery.

Conclusion

An integrated clinical-pathologic diagnosis helps to clarify the nature of extraskeletal cartilaginous tumors that can arise at unusual anatomic site. Complete local surgical excision is the management of choice.
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Literature
1.
go back to reference Kienböck R: Über die Gelenkskapsel-Osteome. Kniegelenk. Fortschr Röntgenstr. 1924, 32: 527-546. Kienböck R: Über die Gelenkskapsel-Osteome. Kniegelenk. Fortschr Röntgenstr. 1924, 32: 527-546.
2.
3.
go back to reference Milgram JW, Dunn EJ: Para-articular chondromas and osteochondromas. A report of 3 cases. Clin Orthop. 1980, 148: 147-151.PubMed Milgram JW, Dunn EJ: Para-articular chondromas and osteochondromas. A report of 3 cases. Clin Orthop. 1980, 148: 147-151.PubMed
4.
go back to reference Helpert C, Davies AM, Evans N, Grimer RJ: Differential diagnosis of tumours and tumour-like lesions of the infrapatellar (Hoffa's) fat pad: pictorial review with an emphasis on MR imaging. Eur Radiol. 2004, 14: 2337-2346. 10.1007/s00330-004-2491-1.CrossRefPubMed Helpert C, Davies AM, Evans N, Grimer RJ: Differential diagnosis of tumours and tumour-like lesions of the infrapatellar (Hoffa's) fat pad: pictorial review with an emphasis on MR imaging. Eur Radiol. 2004, 14: 2337-2346. 10.1007/s00330-004-2491-1.CrossRefPubMed
5.
go back to reference Reith JD, Bauer TW, Joyce MJ: Paraarticular osteochondroma of the knee. Report of 2 cases and review of the literature. Clin Orthop. 1997, 334: 225-232. 10.1097/00003086-199701000-00029.CrossRefPubMed Reith JD, Bauer TW, Joyce MJ: Paraarticular osteochondroma of the knee. Report of 2 cases and review of the literature. Clin Orthop. 1997, 334: 225-232. 10.1097/00003086-199701000-00029.CrossRefPubMed
6.
go back to reference Hagan PhF, Schoenecker PL: Para-articular osteochondroma. Am J Orthop. 1995, 24: 65-67.PubMed Hagan PhF, Schoenecker PL: Para-articular osteochondroma. Am J Orthop. 1995, 24: 65-67.PubMed
7.
go back to reference Hammer H: Ein Fall von Gelenkkapselosteom (Kniegelenk). Fortschr Röntgenstr. 37: 860-861. Hammer H: Ein Fall von Gelenkkapselosteom (Kniegelenk). Fortschr Röntgenstr. 37: 860-861.
8.
go back to reference Kautz FG: Capsular osteoma of the knee joint. Report of 4 cases. Radiology. 1945, 45: 162-167.CrossRef Kautz FG: Capsular osteoma of the knee joint. Report of 4 cases. Radiology. 1945, 45: 162-167.CrossRef
9.
go back to reference Li Ch, Arger PH, Dalinka MK: Soft tissue osteochondroma. A report of 3 cases. Skeletal Radiol. 1989, 18: 435-437. 10.1007/BF00368610.CrossRefPubMed Li Ch, Arger PH, Dalinka MK: Soft tissue osteochondroma. A report of 3 cases. Skeletal Radiol. 1989, 18: 435-437. 10.1007/BF00368610.CrossRefPubMed
10.
go back to reference Mosher JF, Kettelkamp DB, Campbell CJ: Intracapsular or para-articular chondroma. A report of 3 cases. J Bone Joint Surg Am. 1966, 48: 1561-1569.PubMed Mosher JF, Kettelkamp DB, Campbell CJ: Intracapsular or para-articular chondroma. A report of 3 cases. J Bone Joint Surg Am. 1966, 48: 1561-1569.PubMed
11.
go back to reference Purser DW: Extraskeletal osteochondromata. J Bone Joint Surg Br. 1956, 38: 871-873.PubMed Purser DW: Extraskeletal osteochondromata. J Bone Joint Surg Br. 1956, 38: 871-873.PubMed
12.
go back to reference Sakai H, Tamai K, Iwamoto A, Saotome K: Para-articular chondroma and osteochondroma of the infrapatellar fat pad: a report of three cases. Int Orthop. 1999, 23: 114-117. 10.1007/s002640050322.CrossRefPubMedPubMedCentral Sakai H, Tamai K, Iwamoto A, Saotome K: Para-articular chondroma and osteochondroma of the infrapatellar fat pad: a report of three cases. Int Orthop. 1999, 23: 114-117. 10.1007/s002640050322.CrossRefPubMedPubMedCentral
14.
go back to reference Allahabadia VN, Kulkarni SS, Dogra AS, Bhosale PB: Solitary synovial osteochondroma of the knee. J Postgrad Med. 1995, 41: 113-114.PubMed Allahabadia VN, Kulkarni SS, Dogra AS, Bhosale PB: Solitary synovial osteochondroma of the knee. J Postgrad Med. 1995, 41: 113-114.PubMed
15.
go back to reference Das AK, Mukherjee DR: Giant osteochondral loose body of the knee joint. A case report. J Bone Joint Surg Am. 1978, 60: 559-560.PubMed Das AK, Mukherjee DR: Giant osteochondral loose body of the knee joint. A case report. J Bone Joint Surg Am. 1978, 60: 559-560.PubMed
16.
go back to reference Dienst M, Schneider G, Pahl S, Ensslin S, Kohn D: Intra-articular osteochondroma of the posterior cavity of the knee. Arch Orthop Trauma Surg. 2002, 122: 462-465.PubMed Dienst M, Schneider G, Pahl S, Ensslin S, Kohn D: Intra-articular osteochondroma of the posterior cavity of the knee. Arch Orthop Trauma Surg. 2002, 122: 462-465.PubMed
17.
18.
go back to reference Sarmiento A, Elkins RW: Giant intra-articular osteochondroma of the knee. A case report. J Bone Joint Surg Am. 1975, 57: 560-561.PubMed Sarmiento A, Elkins RW: Giant intra-articular osteochondroma of the knee. A case report. J Bone Joint Surg Am. 1975, 57: 560-561.PubMed
19.
go back to reference Takahashi M, Nishihara A, Ohishi T, Shiga K, Yamamoto K, Nagano A: Arthroscopic resection of an intra-articular osteochondroma of the knee in the patient with multiple osteochondromatosis. Arthroscopy. 2004, 20: 28-31.CrossRefPubMed Takahashi M, Nishihara A, Ohishi T, Shiga K, Yamamoto K, Nagano A: Arthroscopic resection of an intra-articular osteochondroma of the knee in the patient with multiple osteochondromatosis. Arthroscopy. 2004, 20: 28-31.CrossRefPubMed
20.
go back to reference Schofield TD, Pitcher JD, Youngberg R: Synovial chondromatosis simulating neoplastic degeneration of osteochondroma: findings on MRI and CT. Skeletal Radiol. 1994, 23: 99-102. 10.1007/BF00563200.CrossRefPubMed Schofield TD, Pitcher JD, Youngberg R: Synovial chondromatosis simulating neoplastic degeneration of osteochondroma: findings on MRI and CT. Skeletal Radiol. 1994, 23: 99-102. 10.1007/BF00563200.CrossRefPubMed
Metadata
Title
Extra-osseous osteochondroma-like soft tissue mass of the patello-femoral space
Authors
Francesco Oliva
Alessandro Marconi
Stefano Fratoni
Nicola Maffulli
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2006
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-7-57

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