Non Traumatic Fracture of Pedunculated Osteochondroma: Conservative Management of a Rare Case RD03-RD04
Dr. Ahmet Senel,
Istanbul Training and Research Hospital Department of Orthopaedics. Kasap Ilyas Mah
Org. Abdurrahman Nafiz Gurman Cad, Fatih Istanbul, Istanbul, Turkey.
Fracture of a pedunculated osteochondroma is a rare complication for which surgical treatment is usually advocated. In this report, we present the functional and radiological outcomes of a case of a conservatively treated fracture of a pedunculated osteochondroma. A 26-year-old man with no history of trauma presented with acute onset of left knee pain, oedema, and limited range of motion. Radiological assessment revealed a fracture of a pedunculated osteochondroma. It was treated conservatively with an elastic bandage and non-steroidal anti-inflammatory drugs, and union was achieved by the 12-week follow-up, with no complications. Although surgical treatment is usually advocated for a pedunculated osteochondroma fracture, conservative treatment should be the first approach to avoid complications of surgical intervention.