Surgical Management of Snapping Quadriceps Caused by Distal Femur Osteochondroma: A Case Report

Introduction: Osteochondromas, common benign bone tumors, can lead to complications such as snapping quadriceps when located near joints such as the knee. This case report discusses a rare instance of a distal femur osteochondroma causing a snapping sensation during knee movement. The pathogenesis i...

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Bibliographic Details
Main Authors: Prem Jangra, Abdus Sami, Vijay Kumar Jain, Naveen Jeyaraman, Swaminathan Ramasubramanian, Madhan Jeyaraman
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-06-01
Series:Journal of Orthopaedic Case Reports
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Online Access:https://jocr.co.in/wp/2025/06/01/surgical-management-of-snapping-quadriceps-caused-by-distal-femur-osteochondroma-a-case-report/
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Summary:Introduction: Osteochondromas, common benign bone tumors, can lead to complications such as snapping quadriceps when located near joints such as the knee. This case report discusses a rare instance of a distal femur osteochondroma causing a snapping sensation during knee movement. The pathogenesis involves the tumor altering the normal mechanics of the quadriceps tendon, necessitating a comprehensive diagnostic approach including magnetic resonance imaging and dynamic ultrasound. Case Report: We report a 37-year-old male who presented with a 6-month history of progressive pain, swelling, and a snapping sensation in the right knee, which was confirmed as a pedunculated osteochondroma with a cartilage cap <2 cm in thickness with appropriate investigations. Due to failed conservative management, the surgical resection through the Swashbuckler approach was performed. Conclusion: The case emphasizes the importance of precise diagnostic imaging and tailored surgical intervention in managing uncommon mechanical complications of osteochondromas.
ISSN:2250-0685
2321-3817