PMC4266758_01
(a) Preoperative X-ray showing the lesion and the degree of deformity which at first appeared to the treating team to be an enchondroma. (b) Immediate postoperative X-rays in U slab. (c) X-rays at final follow-up showing union.
CRIOR2014-854349.001.jpg
PMC4266758_01_CRIOR2014-854349.001.jpg
fig1
Plain radiographs demonstrated a suspicious solitary, diaphyseal humeral lesion, sparing the cortices, and surrounding soft tissues with an abundance of bone formation (Figure 1(a)). The excess callus was trimmed, and after freshening of the lesion site and clearing of the marrow, an intramedullary Rush nail was passed with an entry point at the lesser tuberosity (Figure 1(b)).
Preoperative CT showing exuberant new bone formation at the site of the deformity.
CRIOR2014-854349.002.jpg
PMC4266758_01_CRIOR2014-854349.002.jpg
fig2
The CT revealed a lesion with exuberant bone formation at the site of deformity (Figure 2).
Histopathology showing features suggestive of callus formation with no evidence of malignancy.
CRIOR2014-854349.003.jpg
PMC4266758_01_CRIOR2014-854349.003.jpg
fig3
Patient at final follow-up showing good range of motion.
CRIOR2014-854349.004.jpg
PMC4266758_01_CRIOR2014-854349.004.jpg
fig4