Surgical excision – Journal of Clinical Orthopaedics

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.802

Open Access License: CC BY-NC 4.0

Submitted Date: 28 Aug 2025, Review Date: 10 Sep 2025, Accepted Date: 18 Sep 2025 & Published Date: 10 Dec 2025

Author: Aibin B Michael [1], Arvind B Goregaonkar [1], Suyog Wagh [1]

[1] Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India

Address of Correspondence
Dr. Aibin B Michael,
Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
E-mail: aibinmichael357@gmail.com

Abstract

Introduction: Osteochondroma is the most common benign bone tumor, accounting for 20–50% of all benign bone tumors and typically arising from the metaphyses of long bones. Osteochondromas arising from flat bones such as the ilium are exceedingly rare, representing <5% of all osteochondromas. We report a rare case of a large solitary osteochondroma originating from the posterior-inferior part of the left iliac bone in a young female.
Case Report: We report a 21-year-old female with a solitary osteochondroma arising from the posteroinferior part of the left iliac bone. The lesion measured 4.3 × 2.7 × 2.5 cm with a cartilage cap thickness of 2.2 mm. Two magnetic resonance imaging (MRI) scans performed 1 year apart demonstrated an increase in lesion size, while the thickness of the cartilage cap remained unchanged. Surgical subperiosteal excision was performed using a vertical incision. The mass was removed with an osteotome, and bone wax was applied to the raw bone surface for hemostasis. Histopathological examination confirmed a benign osteochondroma without atypical features. At follow-up, the patient reports complete satisfaction with the resolution of deformity and no recurrences.
Discussion: Pelvic osteochondromas are rare and often present late due to their deep location. This case highlights a symptomatic flat-bone osteochondroma presenting with mechanical and cosmetic complaints. MRI findings supported a benign nature. Complete marginal excision, including the cartilage cap, is curative and minimizes recurrence risk.
Conclusion: This case emphasizes the rare location of osteochondroma in the iliac bone and demonstrates that timely surgical management can lead to excellent cosmetic and functional outcomes without recurrence. Early recognition and complete excision are key to successful treatment of flat-bone osteochondromas and prevention of complications.
Keywords: Osteochondroma, Iliac bone, Flat bone tumor, Pelvic osteochondroma, Surgical excision, Cartilage cap.

References

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How to Cite this Article: Michael AB, Goregaonkar AB, Wagh S. Solitary Osteochondroma of the Iliac Blade: A Rare Flat Bone Presentation Managed with Complete Surgical Excision. Journal of Clinical Orthopaedics. July-December 2025;10(2):129-132.

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DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.798

Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).

Submitted Date: 08 Nov 2025, Review Date: 15 Nov 2025, Accepted Date: 25 Nov 2025 & Published Date: 10 Dec 2025

Author: J S R G Saran [1], Varun Devdass [1], Durai Anand [1]

[1] Department of Orthopaedics, M S Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India

Address of Correspondence
Dr. J S R G Saran,
Department of Orthopaedics, M S Ramaiah University of Applied Sciences Nagar, Bengaluru, Karnataka 560094, India.
E-mail: jsaran868@gmail.com

Abstract

Background: Wrist swellings are most often benign cystic lesions such as ganglion cysts; however, vascular anomalies such as venous malformations (VMs), though rare, can closely mimic these entities and pose diagnostic challenges.
Case Report: A 24-year-old male presented with a painful volar wrist swelling following trauma, radiologically suggestive of a multiloculated ganglion cyst. Conservative management failed, and surgical excision through a modified Henry approach was undertaken. Intraoperatively, an ill-defined, violaceous, non-pulsatile vascular mass was identified and completely excised with assistance from a vascular surgery team. Histopathological examination confirmed a VM.
Results: Post-operative rehabilitation led to significant improvement in pain and wrist function, with no recurrence noted at short-term follow-up.
Conclusion: VMs, though rare, should be considered in persistent wrist swellings unresponsive to conservative treatment. Complete surgical excision with multidisciplinary support and structured rehabilitation can achieve excellent functional recovery and prevent recurrence.
Keywords: Atypical venous malformation, Wrist, ganglion cyst, Surgical excision, Vascular anomaly.

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How to Cite this Article: Saran JSRG, Devdass V, Anand D. Atypical Venous Malformation of the Volar Wrist Presenting as a Ganglion Cyst: Diagnostic Pitfalls and Surgical Insights – Case Report. Journal of Clinical Orthopaedics. July-December 2025;10(2):119-124.

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Solitary Osteochondroma of the Iliac Blade: A Rare Flat Bone Presentation Managed with Complete Surgical Excision

Author: Aibin B Michael [1], Arvind B Goregaonkar [1], Suyog Wagh [1]

Atypical Venous Malformation of the Volar Wrist Presenting as a Ganglion Cyst: Diagnostic Pitfalls and Surgical Insights – Case Report

Author: J S R G Saran [1], Varun Devdass [1], Durai Anand [1]

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Journal of Clinical Orthopaedics