Decision making regarding management in varying presentations of osteochondroma- Our experience

Osteochondromas display varying presentations depending on the age, site, duration, associated inflammation, fracture, neurovascular involvement, malignant transformation. In our series, we have managed 11 cases of osteochondroma through a range of treatment options including conservative management. 2 cases had cosmetic problem alone, 2 had neurological symptoms (foot drop), 2 had deformity, 2 had pain (bursitis, malignancy). 2 had vascular involvement and one had restriction of joint movement. Marginal excision and biopsy was done in 9 cases, wide excision in one case and reassurance without surgery in one case. Limb threatening (neurovascular encasement) and life threatening (malignant transformation) conditions were managed surgically as early as possible. Others were managed after analysing the tumour morphology, topography and the demand of the patient. Post operatively, all the operated patients had an uneventful follow up and adequate recovery from their presenting symptoms.