This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Galasso, O. Articles by Milano, C. Search for Related Content PubMed PubMed Citation Articles by Galasso, O. Articles by Milano, C.

An Enlarging Distal Tibia Osteochondroma in the Adult Patient

Olimpio Galasso, MD ^*, Massimo Mariconda, MD  and Carlo Milano, MD 

^* Division of Orthopaedic and Trauma Surgery, Department of Medical Sciences, School of Medicine, University Magna Graecia, Medical Sciences, V.le Europa, Catanzaro, Italy.
Department of Orthopaedic and Trauma Surgery, School of Medicine, "Federico II" University Hospital, Naples, Italy.

Corresponding author: Olimpio Galasso, MD, Division of Orthopaedic and Trauma Surgery, Department of Medical Sciences, School of Medicine, University Magna Graecia, Medical Sciences, V.le Europa, Catanzaro, Italy 88100. (E-mail: galasso{at}unicz.it)

Abstract

The extensive enlargement of a solitary osteochondroma in a skeletally mature patient is rare and might result from malignant transformation. Excision of such a lesion in the distal and lateral aspect of the tibia is difficult because of the risk of injury to the neurovascular structures and the possible functional consequences with respect to ankle stability. We present a case of an active osteochondroma arising from the posterolateral distal tibia in an adult patient. The tumor was successfully excised by using a transfibular approach with fibular reconstruction. No signs of recurrence were noted 2 years after surgery. (J Am Podiatr Med Assoc 99(2): 157–161, 2009)