Fibular deformite ve derin peroneal sinir tuzak nöropatisine yol açan distal tibial osteokondrom: Olgu sunumu

Yıl 2014, Cilt: 48 Sayı: 4, 463 - 466, 03.09.2014

Berhan Genc Aynur Solak Sena Kalayciogu Kalaycioğlu Neslin Sahin

https://doi.org/10.3944/AOTT.2014.2741

Öz

Osteokondromlar tüm kemik tümörlerinin %9’unu, selim kemik tümörlerinin %35’ini oluşturan ve en sık rastlanılan selim kemik tümörleridir ve tanısı sıklıkla rastlantısal olarak konur. Osteokondromların çoğu asemptomatiktir, fakat yerleştiği yer ve boyutuna göre mekanik bulgulara yol açabilir. Nadiren, tibianın interosseöz yüzeyinden kaynaklanıp fibulayı etkileyebilir. Bu çalışmada distal tibia metafizinden kaynaklanan ve klinik ve radyolojik bulgularıyla derin peroneal sinir tuzak sendromuna yol açan nadir bir osteokondrom olgusunu sunuyoruz. Aktarılan durumuyla bu olgu, bildiğimiz kadarıyla literatürdeki ilk olgudur.

Anahtar Kelimeler

Derin peroneal sinir; manyetik rezonans görüntüleme; osteokondrom; tuzak nöropatisi.

Distal tibial osteochondroma causing fibular deformity and deep peroneal nerve entrapment neuropathy: a case report

Öz

Osteochondromas are the most common benign bone tumors, comprising 9% of all bone tumors and 35% of benign bone tumors. They are frequently diagnosed incidentally. Osteochondromas are mostly asymptomatic, but may cause mechanical findings depending on the location and size of the tumor. Rarely, they may originate from the interosseous surface of the tibia and affect the fibula. We report here a case of a rare osteochondroma originating from the distal tibial metaphysis and causing deep peroneal nerve entrapment syndrome with clinical and radiological findings. To our knowledge, this is the first case in the literature.

Anahtar Kelimeler

Deep peroneal nerve, entrapment neuropathy, magnetic resonance imaging, osteochondroma

Kaynakça

• Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH. Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation. Ra- diographics 2000;20:1407-34.
• Wani IH, Sharma S, Malik FH, Singh M, Shiekh I, Sala- ria AQ. Distal tibial interosseous osteochondroma with impending fracture of fibula - a case report and review of literature. Cases J 2009;2:115.
• Lee JK, Yao L, Wirth CR. MR imaging of solitary osteo- chondromas: report of eight cases. AJR Am J Roentgenol 1987;149:557-60.
• Chin KR, Kharrazi FD, Miller BS, Mankin HJ, Gebhardt MC. Osteochondromas of the distal aspect of the tibia or fibula. Natural history and treatment. J Bone Joint Surg Am 2000;82:1269-78.
• McQueen MM, Christie J, Court-Brown CM. Acute com- partment syndrome in tibial diaphyseal fractures. J Bone Joint Surg Br 1996;78:95-8.
• Kanbe K, Kubota H, Shirakura K, Hasegawa A, Udagawa E. Entrapment neuropathy of the deep peroneal nerve as- sociated with the extensor hallucis brevis. J Foot Ankle Surg 1995;34:560-2.
• Miki RA, Lawrence JP, Gillon TJ, Lawrence BD, Zell RA. Anterior tibial artery and deep peroneal nerve entrapment in spiral distal third tibia fracture. Orthopedics 2008;31.