Pediatric Radiology

, Volume 44, Issue 1, pp 56–63 | Cite as

Imaging features of juxtacortical chondroma in children

  • Stephen F. MillerEmail author
Original Article



Juxtacortical chondroma is a rare benign bone lesion in children. Children usually present with a mildly painful mass, which prompts diagnostic imaging studies. The rarity of this condition often presents a diagnostic challenge. Correct diagnosis is crucial in guiding surgical management.


To describe the characteristic imaging findings of juxtacortical chondroma in children.

Materials and methods

We identified all children who were diagnosed with juxtacortical chondroma between 1998 and 2012. A single experienced pediatric radiologist reviewed all diagnostic imaging studies, including plain radiographs, CT, MR and bone scans.


Seven children (5 boys and 2 girls) with juxtacortical chondroma were identified, ranging in age from 6 years to 16 years (mean 12.3 years). Mild pain and a palpable mass were present in all seven children. Plain radiographs were available in 6/7, MR in 7/7, CT in 4/7 and skeletal scintigraphy in 5/7 children. Three lesions were located in the proximal humerus, with one each in the distal radius, distal femur, proximal tibia and scapula. Radiographic and CT features deemed highly suggestive of juxtacortical chondroma included cortical scalloping, underlying cortical sclerosis and overhanging margins. MRI features consistent with juxtacortical chondroma included isointensity to skeletal muscle on T1, marked hyperintensity on T2 and peripheral rim enhancement after contrast agent administration. One of seven lesions demonstrated intramedullary extension, and 2/7 showed adjacent soft-tissue edema.


Juxtacortical chondroma is an uncommon benign lesion in children with characteristic features on plain radiographs, CT and MR. Recognition of these features is invaluable in guiding appropriate surgical management.


Juxtacortical chondroma Periosteal chondroma Children MRI CT Radiography 



The author would like to thank Dr. Robert Kaufman and Dr. Larry Kun for their support.

Conflicts of interest



  1. 1.
    DeSantos LA, Spjut HJ (1981) Periosteal chondroma: a radiographic spectrum. Skeletal Radiol 6:15–20PubMedCrossRefGoogle Scholar
  2. 2.
    Sinha S, Singhania GK, Campbell AC (1999) Periosteal chondroma of the distal radius. J Hand Surg 24B:747–749CrossRefGoogle Scholar
  3. 3.
    Al-Qudah AS, Abu-Ali HM, Al-Hussaini MA et al (2009) Periosteal chondroma of the clavicle: case report and review of the literature. Int J Surg 7:140–141PubMedCrossRefGoogle Scholar
  4. 4.
    Woertler K, Blasius S, Brinkschmidt C et al (2001) Periosteal chondroma: MR characteristics. J Comput Assist Tomogr 25:425–430PubMedCrossRefGoogle Scholar
  5. 5.
    Akiyama T, Yamamoto A, Kashima T et al (2008) Juxtacortical chondroma of the sacrum. J Orthop Sci 13:476–480PubMedCrossRefGoogle Scholar
  6. 6.
    Tillich M, Lindbichler F, Reittner P et al (1998) Childhood periosteal chondroma: femoral neck thickening and remote hyperostosis as clues to plain film diagnosis. Pediatr Radiol 28:899PubMedCrossRefGoogle Scholar
  7. 7.
    Inoue S, Fujino S, Kontani K et al (2001) Periosteal chondroma of the rib: report of two cases. Surg Today 31:1074–1078PubMedCrossRefGoogle Scholar
  8. 8.
    Robinson P, White LM, Sundaram M et al (2001) Periosteal chondroid tumors: radiologic evaluation with pathologic correlation. AJR Am J Roentgenol 177:1183–1188PubMedCrossRefGoogle Scholar
  9. 9.
    Ishida T, Iijima T, Goto T et al (1998) Concurrent enchondroma and periosteal chondroma of the humerus mimicking chondrosarcoma. Skeletal Radiol 27:337–340PubMedCrossRefGoogle Scholar
  10. 10.
    Molto FL, Lluch DJB, Perales VM (2000) Childhood periosteal chondroma. Arch Orthop Trauma Surg 120:605–608CrossRefGoogle Scholar
  11. 11.
    Nojima T, Unni KK, McLeod RA et al (1985) Periosteal chondroma and periosteal chondrosarcoma. Am J Surg Pathol 9:666–677PubMedCrossRefGoogle Scholar
  12. 12.
    Takada A, Nishida J, Akasaka T et al (2005) Juxtacortical chondroma of the hand: treatment by resection of the tumour and the adjacent bone cortex. J Hand Surg 30B:401–405CrossRefGoogle Scholar
  13. 13.
    Brien EW, Mirra JM, Luck JV Jr (1999) Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology, and clinical biology. II. Juxtacortical cartilage tumors. Skeletal Radiol 28:1–20PubMedCrossRefGoogle Scholar
  14. 14.
    Damato S, Alorjani M, Bonar F et al (2011) IDH1 mutations are not found in cartilaginous tumours other than central and periosteal chondrosarcomas and enchondromas. Histopathology 60:363–365PubMedCrossRefGoogle Scholar
  15. 15.
    Shido Y, Maeda N, Kato K et al (2012) Osteochondroma with metaphyseal abnormalities after total body irradiation followed by stem cell transplantation. J Pediatr Hematol Oncol 34:378–382PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Radiological SciencesSt. Jude Children’s Research HospitalMemphisUSA

Personalised recommendations