Osteocondroamele solitary:Can occur at any time between birth and cease growth. Most are found in children and adolescents, are painless, slowly growing masses. However, depending on the location of significant symptoms may occur through complications such as fractures, bone deformation, mechanical problems in joints and vascular and neurological compromise. Pain, swelling and increased tumor masses may suggest malignant transformation. The risk of malignant transformation is between 1-25%.
Hereditary multiple exostoses:I am an autosomal dominant condition associated with short stature, asymmetric growth and multiple osteocondroame knees and ankles. Patients may have hundreds of bone lesions. Most are located on the periphery of the plateaus of growth of long bones, and the medial edge of the scapula, ribs and iliac crests.Osteocondroamele affecting tarsus and cloth are rare. Skull Damage was reported once.
These osteocondroame get medical attention in the first decade of life to over 80% of patients. The most common localizations are found where the tibia and scapula. In rare cases are detected at birth. They tend to grow as much as the growth plates are active, but stop at skeletal maturity. Rarely have reported spontaneous resolution at puberty. Recurrence after surgery is attributed exostoses incomplete resection.
Pain is associated with malignancy. Formation of large grants to surround osteocondroamele is common. Scholarships are common sites of friction. Memebrele suffer disproportionately from the column. Memebrelor inequality than 2 cm is common. Maybe shortening the femur or tibia occurs, the femur is affected twice as often than the tibia. Scoliosis, coxa Valga, acetabular dysplasia and shortening of the phalanges, and tarsienelor carpienelor is rare.
Tendons, nerves or blood vessels are incarcerated in osteocondroame, leading to symptoms. Spinal cord compression is rare. Visceral lesions or intestinal obstructions have been described. These lesions include dysphagia, urinary or bowel hemotorace and osbtructie. Vascular and neurological compromise affects both extremities. Peripheral nerve compression symptoms occur in 22% of cases. Peroneal neuropathy in children is associated with osteocondrom of the fibula. Vascular compression, arterial thrombosis, aneurysm, venous thrombosis leading to claudication, phlebitis and acute ischemia.
Malignant degeneration:Appears osteocondroamele benign 1-25% of patients. Most changes are in chondrosarcoma, but other sarcomas may complicate the disease. Most patients have a painful mass. Rarely, nerve compression can be symptom onset. Malignant transformation occurs in the first or fifth decade of life.
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