Solitary osteochondroma of the sacroiliac joint: A case Report

Abstract

Abstract Background Osteochondroma is the most frequently encountered benign bone tumor, accounting for approximately 9% of all bone tumors. According to current information, the most frequent localizations are the metaphyseal parts of long tubular bones. Multiple neoplasms are seen in 15% of lesions, while the majority occur as solitary tumors. Case presentation We report the case of a 10-year-old female patient with complaints of swelling and pain behind her waist and right posterior pelvic region. On physical examination, there was pain with palpation of the posterior pelvic region where there was swelling. The biopsy result was reported as osteochondroma. It was decided to proceed with conservative follow-up. However, when the patient's complaints started, local excision was performed and the patient's symptoms regressed. The patient's follow-up is continuing by us. Conclusion Osteochondroma is the most common benign bone tumor. There are a variety of treatment options available, from surgical to conservative. Although the most common location is the metaphyses of long bones, it can be seen in many locations. However, with this case report, we believe that the possibility of its occurrence in the sacroiliac joint should also be considered.

Keywords

• Musculoskeletal tumors
• Osteochondroma
• Sacroiliac joint
• Case report.

Sakroiliak Eklemin Soliter Osteokondromu: Olgu Sunumu

Öz

Özet Arka Plan Osteokondrom, tüm kemik tümörlerinin yaklaşık %9'unu oluşturan, en sık karşılaşılan iyi huylu kemik tümörüdür. Mevcut bilgilere göre, en sık görüldüğü bölgeler uzun tübüler kemiklerin metafizyal kısımlarıdır. Lezyonların %15'inde birden fazla neoplazm görülürken, çoğunluğu soliter tümörler olarak ortaya çıkar. Olgu Sunumu Bel bölgesinin arkasında ve sağ posterior pelvik bölgede şişlik ve ağrı şikayetleri olan 10 yaşındaki bir kız hastanın vakasını rapor ediyoruz. Fizik muayenede, şişlik bulunan posterior pelvik bölgede palpasyon ile ağrı tespit edilmiştir. Biyopsi sonucu osteokondrom olarak rapor edilmiştir. Koruyucu takip ile devam edilmesine karar verilmiştir. Ancak, hastanın şikayetleri başladığında, lokal eksizyon yapılmış ve hastanın semptomları gerilemiştir. Hastanın takibi tarafımızca devam etmektedir. Sonuç Osteokondrom, en sık görülen iyi huylu kemik tümörüdür. Cerrahi tedaviden konservatif takibe kadar çeşitli tedavi seçenekleri bulunmaktadır. En yaygın lokalizasyon uzun kemiklerin metafiz bölgeleri olmasına rağmen, birçok farklı lokasyonda da görülebilir. Bununla birlikte, bu olgu raporu ile sakroiliak eklemde görülme olasılığının da dikkate alınması gerektiğine inanıyoruz.

Anahtar Kelimeler

• Osteokondrom
• Sakroiliak eklem
• Olgu sunumu.
• kas-iskelet sistemi tümörleri

Kaynakça

1. 1. Vleeming A, Schuenke MD, Masi AT, et al. The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J Anat. 2012;221(6):537–67. [Crossref]
2. 2. Goode A, Hegedus EJ, Sizer P, et al. Three-dimensional movements of the sacroiliac joint: a systematic review of the literature and assessment of clinical utility. J Man Manip Ther. 2008;16(1):25–38. [Crossref]
3. 3. Tepelenis K, Papathanakos G, Kitsouli A, et al. Osteochondromas: an updated review of epidemiology, pathogenesis, clinical presentation, radiological features and treatment options. In Vivo. 2021;35(2):681–91. [Crossref]
4. 4. Kapukaya A. Ortopedik hastalıklara genel yaklaşım. 2nd ed. Yenisehir, ANKARA: Akademisyen Kitabevi; 2018. [Crossref]
5. 5. Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH. Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation. Radiographics. 2000;20(5):1407–34. [Crossref]
6. 6. Guy NJ, Shetty AA, Gibb PA. Popliteal artery entrapment syndrome: an unusual presentation of a fibular osteochondroma. Knee. 2004;11(6):497–9. [Crossref]
7. 7. Saglik Y, Altay M, Unal VS, Basarir K, Yildiz Y. Manifestations and management of osteochondromas: a retrospective analysis of 382 patients. Acta Orthop Belg. 2006;72(6):748–55. [Crossref]
8. 8. Sung YT, Wu J. The visual analogue scale for rating, ranking and paired-comparison (VAS-RRP): a new technique for psychological measurement. Behav Res Methods. 2018;50:1693–715. [Crossref]

9. 9. Upadhyay P. Osteochondroma of rib. Pan Afr Med J. 2022;42:59. [Crossref]
10. 10. Motamedi K, Seeger LL. Benign bone tumors. Radiol Clin North Am. 2011;49(6):1115–34. [Crossref]
11. 11. Garcia RA, Inwards CY, Unni KK. Benign bone tumors--recent developments. Semin Diagn Pathol. 2011;28(1):73–85. [Crossref]
12. 12. Hoshimoto K, Mitsuya K, Ohkura T. Osteochondroma of the pubic symphysis associated with sexual disturbance. Gynecol Obstet Invest. 2000;50(1):70–2. [Crossref]
13. 13. Woertler K, Lindner N, Gosheger G, Brinkschmidt C, Heindel W. Osteochondroma: MR imaging of tumor-related complications. Eur Radiol. 2000;10(5):832–40. [Crossref]
14. 14. Bani MA, Laabidi B, Gargouri F, Mansouri N, Bouziani A, Msakni I. Secondary chondrosarcoma arising in solitary sacro-iliac osteochondroma: a case report. Tunis Med. 2017;95(5):386–7. [Crossref]
15. 15. Pacifici M. The pathogenic roles of heparan sulfate deficiency in hereditary multiple exostoses. Matrix Biol. 2018;71–72:28–39. [Crossref]
16. 16. Arslan S, Yıldız AE, Ergen FB, Aydıngöz Ü. Sacroiliac joint involvement in osteochondromatosis: identifying its prevalence and characteristics from cross-sectional imaging. Diagn Interv Radiol. 2023;29(2):390–5. [Crossref]
17. 17. Hameetman L, Bovée JV, Taminiau AH, Kroon HM, Hogendoorn PC. Multiple osteochondromas: clinicopathological and genetic spectrum and suggestions for clinical management. Hered Cancer Clin Pract. 2004;2(4):161–73. [Crossref]