Intertrochanteric Fracture Secondary to Solitary Osteochondroma: A Case Report and Literature Review.

INTRODUCTION

Solitary femoral neck osteochondroma (SFNO) usually presents with pain, impingement, or sciatic neuropathy. Concomitant fracture on presentation is rare. This paper describes the treatment approach in such a situation.

CASE REPORT: A 23-year-old male presented after a motor vehicle collision and complained of right hip pain. Clinical assessment and radiological investigations revealed an isolated intertrochanteric femoral fracture adjacent to a posteromedial SFNO. The lesion was resected through a lateral approach, which facilitated simultaneous fracture stabilization with a cephalomedullary nail. A histological sample confirmed the diagnosis. The fracture healed uneventfully with no recurrence of the lesion.

CONCLUSION

Asymptomatic posteromedial SFNO presenting with a fracture may respond well to fixation and removal through a lateral approach.