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Skeletal Radiology

, Volume 27, Issue 8, pp 427–433 | Cite as

MR imaging of symptomatic osteochondromas with pathological correlation

  • M. Mehta
  • L. M. White
  • T. Knapp
  • R. A. Kandel
  • J. S. Wunder
  • R. S. Bell
ARTICLE

Abstract 

Objective. To demonstrate the value of MR imaging in the diagnosis and differentiation of the various symptomatic complications of osteochondromas, providing pathological correlation with emphasis on the usefulness of MR imaging as a single imaging modality in these patients. Design. We retrospectively reviewed all MR examinations of clinically symptomatic osteochondromas (30 patients) performed at our institution between March 1990 and October 1997. Patients. Thirty patients had clinically symptomatic osteochondromas during the study period. Twenty patients were male and 10 were female. There were five cases of multiple osteochondromatosis. Pathological correlation was available in 24 patients. Results and conclusion . Symptomatic complications included fracture (7%), osseous deformity limiting range of motion (23%), vascular injury (7%), neurological compromise (10%), bursa formation (27%) and malignant transformation (27%). MR imaging was able to diagnose or suggest the etiology for the clinical symptomatology in all cases, demonstrating that it is an ideal imaging modality in the diagnostic evaluation of symptomatic complications of osteochondromas and often avoids the need for further imaging.

Key words Osteochondroma Complications MR imaging 

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Copyright information

© International Skeletal Society 1998

Authors and Affiliations

  • M. Mehta
    • 1
  • L. M. White
    • 1
  • T. Knapp
    • 1
  • R. A. Kandel
    • 2
  • J. S. Wunder
    • 3
  • R. S. Bell
    • 3
  1. 1.Joint Department of Medical Imaging, Mount Sinai Hospital, The Toronto Hospital, and Princess Margaret Hospital, Toronto, Ontario, CanadaCanada
  2. 2.Department of Pathology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, CanadaCanada
  3. 3.Department of Orthopedic Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, CanadaCanada

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