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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Chest wall osteochondroma in children: a case series of surgical management

Hooman Bakhshi1, Indranil Kushare, Michael O Murphy

  • 1Divisions of *Orthopaedic Surgery †Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA.

Journal of Pediatric Orthopedics
|September 12, 2014
PubMed

Insights

Surgical management of chest wall osteochondromas in children is effective for pain, diagnosis confirmation, and preventing complications. Outcomes are good with no recurrences or malignant transformations reported.

Area of Science:

  • Pediatric Surgery
  • Orthopedic Oncology
  • Thoracic Surgery

Background:

  • Chest wall osteochondroma is a rare pediatric tumor.
  • While malignant transformation risk is low, surgical intervention is sometimes advocated.
  • This study reviews surgical management of costal osteochondromas.

Purpose of the Study:

  • To evaluate the outcomes of surgical management for chest wall osteochondromas in children.
  • To assess the efficacy of surgery for symptom control and complication prevention.

Main Methods:

  • Retrospective review of 7 pediatric patients undergoing surgery for chest wall osteochondromas between 2006 and 2012.
  • Indications for surgery included pain, diagnostic confirmation, recurrent pneumothorax, and malignancy.
  • Data collected on postoperative recovery, hospital stay, recurrence, and complications.

Main Results:

  • All 7 patients recovered well with a median hospital stay of 1.8 days.
  • No recurrences or malignant transformations were observed during follow-up (8 months to 2.6 years).
  • One patient had a subsequent surgery for an adjacent osteochondroma; no scar pain reported.

Conclusions:

  • Surgical excision of thoracic osteochondromas is effective for symptomatic, malignant, or high-risk lesions.
  • Good outcomes include symptom control, definitive diagnosis, and prevention of thoracic complications.
  • This approach is beneficial for managing pediatric chest wall osteochondromas.
Abstract

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