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November 13-14, 2019 | London, UK
ORTHOPEDICS, OSTEOPOROSIS & TRAUMA
12
th
International Conference on
Journal of Orthopaedics Trauma Surgery and
Related Research
Orthopedics 2019
November 13-14, 2019
J Orthop Trauma Surg Rel Res, Volume 14
Volume: 14 | ISSN: 1897-2276
Isolated primary bone tumours of the lesser trochanter: Demographics, diagnosis and
management
Ahmed Saad
Royal Orthopaedic Hospital, UK
Primary bone tumours of the Lesser Trochanter (LT) are rare and the literature describing them is sparse. In this paper, we
describe the largest series of LT tumours describing the demographics, diagnosis and management.
Methods
: A retrospective search of prospectively maintained radiology and oncology databases was performed to identify bone
tumours of the LT diagnosed between 2007 and 2018. Metastatic lesions were excluded. All cases were re-reviewed by a senior
Consultant Radiologist and all case of benign isolated tumours of the LT were included.
Results
: 23 cases of isolated LT tumours were identified. There were 15 males and 8 females. Median age of our cohort was 32
(14 - 63) years. Most (n=19, 82.6%) cases had classic radiological (Radiographic, MR Imaging and CT) features and therefore
did not undergo biopsy. 4 patients had equivocal radiological investigations that required biopsy to confirm the diagnosis. MR
imaging was the most commonly used imaging modality for diagnosis (n=17, 73.9%).
There was a broad range of tumour subtypes, and osteochondroma (n=17, 73.9%) the most frequently diagnosed. Surgical
excision was performed in 4 patients (all osteochondromas) and 4 patients underwent therapeutic radiological guided hip
injections for symptomatic relief. The remaining cases were managed conservatively. Where they were identified incidentally,
no intervention was required.
Conclusion
: We report the largest case series of isolated primary bone tumours of the LT. All isolated primary bone tumours of
LT are benign. Osteochondroma is the most common. The diagnosis can be made with on radiological investigations in most
patients.