Treatment of a patient with massive osteochondral exostosis of the radial neck: clinical case

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Abstract

BACKGROUND: Osteochondroma (osteochondral exostosis) is the most common benign neoplasm of bone tissue, accounting for up to 9% of all bone tumors. Possible manifestations of a single osteochondral exostosis are pain, a limited range of motion, compression of vascular or neural structures, and crepitus. The literature describes several clinical cases of the treatment of patients with osteochondral exostosis of the proximal radius. A distinguishing feature of the proximal radius’s anatomy is the close location of such anatomical structures as the posterior interosseous nerve, the enthesis of the distal biceps tendon, and the proximal radioulnar joint.

CLINICAL CASE DESCRIPTION: This clinical case for the first time describes osteochondroma of the radial neck, which causes supination deficiency.

CONCLUSION: The surgical treatment allowed us to achieve excellent treatment results with the complete restoration of the function and range of motion in the elbow joint. The key aspect is the knowledge of this segment’s anatomy.

About the authors

Ivan A. Vasilyev

European Clinic of Sports Traumatology and Orthopaedics (ECSTO); Peoples' Friendship University of Russia

Author for correspondence.
Email: dr.vasilyev.ivan@gmail.com
ORCID iD: 0000-0002-1163-950X

Graduate Student

Russian Federation, Moscow; Moscow

Musa N. Maysigov

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Email: mmaysigov@emcmos.ru
ORCID iD: 0000-0002-2096-5876
SPIN-code: 2576-3874

MD, PhD

Russian Federation, Moscow

Alexey N. Logvinov

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Email: logvinov09@gmail.com
ORCID iD: 0000-0003-3235-5407
SPIN-code: 2505-9840

MD, PhD

Russian Federation, Moscow

Alexander V. Frolov

European Clinic of Sports Traumatology and Orthopaedics (ECSTO); Peoples' Friendship University of Russia

Email: afrolov@emcmos.ru
ORCID iD: 0000-0002-2973-8303
SPIN-code: 9712-2491

MD, PhD

Russian Federation, Moscow; Moscow

Dmitry A. Bessonov

European Clinic of Sports Traumatology and Orthopaedics (ECSTO); Peoples' Friendship University of Russia

Email: dbessonov@emcmos.ru
ORCID iD: 0000-0002-0532-9847

Graduate Student

Russian Federation, Moscow; Moscow

Dmitry O. Ilyin

European Clinic of Sports Traumatology and Orthopaedics (ECSTO); Peoples' Friendship University of Russia

Email: ilyinshoulder@gmail.com
ORCID iD: 0000-0003-2493-4601
SPIN-code: 7947-5121

MD, PhD

Russian Federation, Moscow; Moscow

Andrey V. Korolev

European Clinic of Sports Traumatology and Orthopedics (ECSTO); Peoples' Friendship University of Russia

Email: akorolev@emcmos.ru
ORCID iD: 0000-0002-8769-9963
SPIN-code: 6980-6109

MD, PhD, Professor

Russian Federation, Moscow; Moscow

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Assessment of the amplitude of rotation in elbow joints: there is a deficiency of supination in the left elbow joint

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3. Fig. 2. An X-ray image of the left elbow joint in the antero-posteral and lateral views: a bone density formation is visualized in the area of the radial neck

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4. Fig. 3. Computed tomography of the left elbow joint, frontal plane (а): the arrow indicates the connection between the cancellous bone of the neoplasm and the neck of the radius. 3D reconstruction of the left elbow joint (б)

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5. Fig. 4. MRI of the left elbow joint, frontal plane, T1 and T2 sequences: the red line indicates the thickness of the cartilage covering the neoplasm (7 mm)

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6. Fig. 5. The tip of the neoplasm is visualized

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7. Fig. 6. Macroscopic and microscopic view of the removed tumor (Hematoxylin and eosin, ×10)

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8. Fig. 7. Rotation movements amplitude 12 months after the surgery

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