Discusión entre pares / 8yr male having bony outgrowth on lower 3rd humerus since 6 month Exostosis? ?

Indian-Orthopaedic Research-Group

Drgirish Gupta

8yr male having bony outgrowth on lower 3rd humerus since 6 month 
Exostosis? ?
What is the best treatment ?????

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  Tariq A-Fattah Excision and sometimes a band of fibrous tissue found connected to it ( struther's band ) ,, should be released

  27 de junio a la(s) 12:33 · Me gusta · 1
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  Sumit Kamboj Osteochondroma, excise it from the base

  27 de junio a la(s) 12:40 · Me gusta · 1
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  Prasad Pidikiti Your decision for surgery should be based on his symptoms rather than mere presence of the lesion. No symptoms, then no surgery

  27 de junio a la(s) 12:50 · Me gusta · 10
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  Ajinkya Girme Doesn't look like exostosis. Get a mri to see its continuity with medullary canal.

  27 de junio a la(s) 13:33 · Me gusta · 2
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  Drgirish Gupta Prasad Pidikiti symptoms are pain on moving tend present

  27 de junio a la(s) 14:48 · Me gusta
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  Marwan Majid Sulaiman Insersion of ligament of Struthers ? previous trauma ?

  27 de junio a la(s) 15:12 · Me gusta · 1
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  Dhananjaya Sabat It is supracondylar process. A normal variant. Nothing to be done unless there is ulnar nerve symptoms....http://www.google.co.in/url?sa=t&rct=j&q=&esrc=s...

  27 de junio a la(s) 16:02 · Me gusta · 1
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  Mandar Acharya Ligament of Struther's or Supracondylar process of humerus!! Rare finding, ossified 3rd head of coracobrachialis, contains brachial artery and median nerve. Excise only if symptomatic.

  27 de junio a la(s) 18:19 · Me gusta · 2
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  Jaspal Singh Chatha First get MRI done & then confirm ur diagnosis if needed go for biopsy . Then plan ur surgery .

  27 de junio a la(s) 19:43 · Me gusta · 1
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  Puttachar Niranjan Murthy Before jumping into treatment aspect let us discuss diagnosis. First thing in Bone tumors is almost all tumors are deceptive and very difficult to label a diagnosis unless confirmed by pathologists. Well, there is no scope for osteochondromas because it is in metaphysis only and not in diaphysis. Here the growth is in diaphysis. Secondly it is almost nodular or spindle shaped without any symptoms for more than 6 months. X ray clearly shows tumor is from cortex than medulla! So let us agree to disagree later to say that this is a variant of Exostosis for the time being. As for as treatment is concerned it is the problem between doctor and patient & his parents. Why can't we wait till Dr Girish comes out with his result?

  27 de junio a la(s) 20:41 · Me gusta · 1
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  Raman Velusamy supracondylar spur. excision biopsy

  28 de junio a la(s) 2:54 · Me gusta · 1
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  Drgirish Gupta Excised growth send for biopsy

  

  28 de junio a la(s) 4:45 · Me gusta
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  Drgirish Gupta

  

  28 de junio a la(s) 4:46 · Me gusta
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  Drgirish Gupta

  

  28 de junio a la(s) 4:46 · Me gusta · 1
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  Raman Velusamy Similar case in our hospital.supracondylar spur

  

  28 de junio a la(s) 6:33 · Me gusta · 1
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  Drgirish Gupta @dr Raman what you plan? ?

  28 de junio a la(s) 7:10 · Me gusta
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  Gopal Goel Exostosis is metaphyseal in nature

  28 de junio a la(s) 7:22 · Me gusta · 1
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  Raman Velusamy excision biopsy like ur case sir

  28 de junio a la(s) 7:58 · Me gusta · 1
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  Drgirish Gupta Ok thanks

  28 de junio a la(s) 8:44 · Me gusta · 1
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  Paras Gupta Any doubt, cut it out!!

  28 de junio a la(s) 8:44 · Me gusta · 1
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  Drgirish Gupta No doubt simple outgrowth spur? Calcification? 
  Not like pathological conditions
  Send for biopsy

  28 de junio a la(s) 8:48 · Me gusta · 1
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  Jalal Ahmed Hady If it is asymptomatic 
  Observation and follow up only

  28 de junio a la(s) 9:33 · Me gusta · 1
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  د.عبد العزيز البرقى please tell us the result of the pathology

  28 de junio a la(s) 10:10 · Me gusta · 1
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  Drgirish Gupta Sure

  28 de junio a la(s) 11:06 · Me gusta · 1
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  Drgirish Gupta Probably this is Calcification of stuther ligament with band formation

  

  29 de junio a la(s) 12:24 · Me gusta · 1
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  Drgirish Gupta

  

  hace 14 horas · Me gusta
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  Drgirish Gupta Osteoma

  hace 14 horas · Me gusta