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Case report: solitary pelvic osteochondroma presenting with L3 nerve root compression
Jeremy Larson1, James E O'Malley, Timothy I Cohen
1Providence Alaska Medical Center, 3200 Providence Dr., Anchorage, AK 99508, USA.
Alaska Medicine
|August 7, 2002
Summary
Osteochondromas are common benign bone tumors, usually affecting adolescents on long bones. This case highlights a rare pelvic osteochondroma in an adult causing L3 nerve root compression.
Area of Science:
- Orthopedic Oncology
- Neurosurgery
- Radiology
Background:
- Osteochondroma is the most common benign bone tumor, representing 40% of all benign bone tumors.
- Typically presents in adolescents with characteristic findings on long bones like the femur or radius.
Observation:
- This report details an unusual case of a solitary osteochondroma located in the pelvis.
- The patient was a 29-year-old male with no prior significant medical history.
Findings:
- The pelvic osteochondroma presented subtly, unlike typical presentations.
- The tumor's size and location led to signs and symptoms consistent with L3 nerve root compression.
Implications:
- Pelvic osteochondromas can present atypically in adults, mimicking other pathologies.
- Early diagnosis and surgical consideration are crucial for managing symptomatic pelvic osteochondromas to prevent neurological compromise.