J Knee Surg 2013; 26(S 01): S011-S015
DOI: 10.1055/s-0031-1280974
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Distal Femoral Osteochondroma Masquerading as Deep Vein Thrombosis in an Adolescent Male

Mandeep Dhillon
1   Department of Orthopedics, PGIMER, Chandigarh, India
Vishal Kumar
1   Department of Orthopedics, PGIMER, Chandigarh, India
Vikas Bachhal
1   Department of Orthopedics, PGIMER, Chandigarh, India
Kamal Bali
1   Department of Orthopedics, PGIMER, Chandigarh, India
› Author Affiliations
Further Information

Publication History

03 November 2010

01 March 2011

Publication Date:
07 June 2011 (online)


Deep venous thrombosis (DVT) is uncommonly seen in children and adolescents. A distal femoral osteochondroma causing isolated lower limb DVT is even rarer and to our knowledge only four such cases have been reported in the literature. We report a case of a solitary distal femoral osteochondroma in a 15-year-old adolescent presenting as isolated DVT. We highlight the potential of coexistence of DVT and osteochondroma in young patients. We also emphasize the importance of timely diagnosis and outline the plan of management when faced with such a rare condition.

  • References

  • 1 Vasseur MA, Fabre O. Vascular complications of osteochondromas. J Vasc Surg 2000; 31 (3) 532-538
  • 2 Navadgi BC, Davies N, Beale AM, Arya R, Williamson DM. Deep venous thrombosis in a child: an unusual presentation of an osteochondroma. J Pediatr Orthop 2009; 29 (3) 312-314
  • 3 Walsh S, Phillips F. Deep vein thrombosis associated with pediatric musculoskeletal sepsis. J Pediatr Orthop 2002; 22 (3) 329-332
  • 4 Crary SE, Buchanan GR, Drake CE, Journeycake JM. Venous thrombosis and thromboembolism in children with osteomyelitis. J Pediatr 2006; 149 (4) 537-541
  • 5 Grandas OH, Klar M, Goldman MH, Filston HC. Deep venous thrombosis in the pediatric trauma population: an unusual event: report of three cases. Am Surg 2000; 66 (3) 273-276
  • 6 Lizama VA, Zerbini MA, Gagliardi RA, Howell L. Popliteal vein thrombosis and popliteal artery pseudoaneurysm complicating osteochondroma of the femur. AJR Am J Roentgenol 1987; 148 (4) 783-784
  • 7 Scott EM, White FJ, Jennings PE. Popliteal vein thrombosis associated with femoral osteochondroma and popliteal artery pseudoaneurysm. Postgrad Med J 1995; 71 (837) 441-442
  • 8 Leggett DA, Sinnott SJ, Kienzle HN. Pseudoaneurysm and deep vein thrombosis complicating femoral osteochondroma: multimodality imaging. Australas Radiol 2006; 50 (3) 258-261
  • 9 Christensen JD, Monu JUV. Multimodality imaging in the diagnosis of deep vein thrombosis and popliteal pseudoaneurysm complicating a sessile osteochondroma. Pediatr Radiol 2008; 38 (8) 887-891
  • 10 Eschelman DJ, Gardiner Jr GA, Deely DM. Osteochondroma: an unusual cause of vascular disease in young adults. J Vasc Interv Radiol 1995; 6 (4) 605-613
  • 11 Mollano AV, Hagy ML, Jones KB, Buckwalter JA. Unusual osteochondroma of the medial part of the clavicle causing subclavian vein thrombosis and brachial plexopathy. A case report. J Bone Joint Surg Am 2004; 86-A (12) 2747-2750