Abstract
Osteochondroma is the most common skeletal benign tumour. It may present in a solitary form or as part of an autosomal dominant hereditary syndrome affecting several bones simultaneously. It is found most often in the knee region. It is generally asymptomatic although it may cause complications, including vascular disorders. In view of anatomical circumstances, the popliteal artery is most frequently involved in this type of complication. This is a case report of a 9-year-old boy who referred with pain in the distal third of his femur. Osteochondroma was initially diagnosed through plain X-ray. In view of worsening symptoms, an ultrasound and magnetic resonance imaging were performed and the patient was diagnosed with pseudoaneurysm of the popliteal artery.
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Vasseur MA, Fabre O (2000) Vascular complications of osteochondromas. J Vasc Surg 31(3):532–538
Klebuc M, Burrow S, Organek A et al (2001) Osteochondroma as a causal agent in popliteal artery pseudoaneurysms: case report and literature review. J Reconstr Microsurg 17(7):475–479
Perez-Burkhardt JL, Gomez Castilla JC (2003) Postraumatic popliteal pseudoaneurysm from femoral ostechondroma: case report and review of the literature. J Vasc Surg. 37(3):669–671
Hemli JM, Barakate MS, Puttaswamy V et al (2002) Popliteal artery compression by a tibial osteochondroma with associated thrombosis and distal embolization. Aust NZ J Surg 70(6):459–461
Fox AD, Michaelis JA, Gray DW (1995) Occlusion of the femoral artery secondary to osteochondroma. Eur J Vasc Endovasc Surg 9(4): 501–502
Andrikopoulos V, Skourtis G, Papacharalambous G et al (2003) Arterial compromise caused by lower limb osteochondroma. Vasc Endovascular Surg 37(3):185–190
Benhidjeb T, Burger K, Rudolph B et al (1995) Occlusion of the popliteal and tibial artery complicating multiple exostoses. Eur J Surg 161(1):59–61
Wong KT, Chu WC, Griffith JF et al (2002) Pseudoaneurysm complicating osteochondromas: symptom relief with embolization. Clin Orthop Nov.(404):339–342
Matsishita M, Nishikimi N, Sakurai T et al (2000) Pseudoaneurym of the popliteal artery caused by exostosis of the femur: case report and review of the literature. J Vasc Surg 32:201–204
Gomez-Reino JJ, Radín A, Gorevic PD (1979) Pseudoaneurysm of the popliteal artery as a complication of an osteochondroma. Skeletal Radiol 4(1):26–28
Sakamoto A, Tanaka K, Matsuda S et al (2002) Vascular compression caused by solitary osteochondroma: useful diagnostic methods of magnetic resonance angiography and Doppler ultrasonography. J Orthop Sci 7(4):439–443
Brzezinski T, Krepski K, Skórski M et al (2003) Supragenual popliteal artery pseudoaneurysm in a patient with femoral bone exostosis. Case Rep Clin Pract Rev 4(1):43–45
Vallance R, Hamblen DL, Kelly IG (1985) Vascular complications of osteochondroma. Clin Radiol 36(6):639–642
Forbes TL, Mehta S, Pudupakkam S (2002) Popliteal artery false aneurysm secondary to tibial osteochondroma. Can J Surg 45(1):63–64
Griffith JF, Cheng JCY, Lung TK et al (1998) Pseudoaneurysm after high tibial osteotomy and limb lengthening. Clin Orthop Sept.(354):175–179
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Antonio, Z.P., Alejandro, R.M., Luis, M.R.J. et al. Femur ostochondroma and secondary pseudoaneurysm of the popliteal artery. Arch Orthop Trauma Surg 126, 127–130 (2006). https://doi.org/10.1007/s00402-005-0092-3
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DOI: https://doi.org/10.1007/s00402-005-0092-3