Femoral Osteochondroma Formation in a Division I Male Basketball Player: A Case Report

Authors

  • Lacey McCombs, MAT, LAT, ATC Lincoln Christian Schools
  • Jennifer Volberding, Ph.D., ATC, LAT Oklahoma State University Center for Health Sciences

Keywords:

Femoral Exostosis, Medial Thigh Pain, Surgical Excision

Abstract

Introduction: Osteochondromas are the most common benign bone tumors that typically occur in the metaphysis of long bones. These lesions are typically asymptomatic and first develop in childhood or adolescence. Case Presentation: Twenty-one year old, Division I male basketball player presented with unresolved medial thigh pain after a collision during a basketball game. He was diagnosed with a femoral osteochondroma via x-ray, which was surgically excised secondary to pain. Discussion: This case was unique due to the rarity of this condition, the differential diagnosis at a young age, and the lack of symptomatic complaints for ten years. Athletic trainers should consider previously asymptomatic osteochonromas with unresolved quadriceps pain. Conclusion: Osteochondromas are infrequent, but should be monitored closely due to the long-term effects that they can cause. Patients should consider the risks and benefits of excision and whether conservative treatment or surgical excision would be more beneficial.

References

Khan I, West C, Sangster G, Heldmann M, Doucer L, et al. Multiple Hereditary Exostoses as a Rare Nonathersclerotic Etiology of Chronic Lower Extremity Ischemia. J Vasc Surg. 2010; 51: 1003-1005.

Heron N. Femoral Exostosis Causing Vastus Medialis Pain in an Active Young Lady: A Case Report. BMC Research Notes. 2015; 81 (119): 1-4.

Vasseur M, Fabre O. Vascular Complications of Osteochondromas. J Vasc Surg. 2000; 31: 532-538.

Vanhoenacker F, Van Hul W, Wuyts W, WIlliems P, Schepper A. Hereditary Multiple Exostoses: From Genetics to Clinical Syndrome and Complications. Eur J Radiol. 2001; 40(3): 208-217.

Perex-Burkhardt J, Castilla J. Postraumatic Popliteal Pseudoaneurysm from Femoral Osteochondroma: Case Report and Review of Literature. J Vasc Surg. 2003; 37: 669-671.

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Published

2018-03-15

Issue

Vol. 2 No. 1 (2018)

Section

Athletic Training

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