Rare Presentation of Chondroblastoma of the Patella, a Case Report

Case: Chondroblastoma, a rare benign bone tumor, often occurs in skeletally immature individuals, with patellar involvement in <2% of cases. We report a 14-year-old adolescent boy with anterior knee pain and a patellar chondroblastoma. Imaging revealed a radiolucent lesion, and biopsy confirmed the diagnosis. Curettage and grafting led to pain resolution, full range of motion, and sports clearance at 6 months with no recurrence. Conclusion: Patellar chondroblastomas are exceptionally rare, usually arising in long bone epiphyses. Differential diagnosis includes Langerhans cell histiocytosis, giant cell tumors, and clear cell chondrosarcoma, requiring histological and imaging analysis. Recurrence risk mandates ongoing clinical and radiological monitoring.

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Publication Details

Journal
JBJS Journal of Orthopaedics for Physician Assistants
Published
2024-10-01
DOI
https://doi.org/10.2106/jbjs.jopa.24.00025
Primary Topic
Bone Tumor Diagnosis and Treatments
Type
article
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article

Rare Presentation of Chondroblastoma of the Patella, a Case Report

Amirhossein Misaghi, William Fang, Juston Fan, Ali Nael
JBJS Journal of Orthopaedics for Physician Assistants
Bone Tumor Diagnosis and Treatments
article

Rare Presentation of Chondroblastoma of the Patella, a Case Report

Amirhossein Misaghi, William Fang, Juston Fan, Ali Nael
article en

Abstract

Case: Chondroblastoma, a rare benign bone tumor, often occurs in skeletally immature individuals, with patellar involvement in <2% of cases. We report a 14-year-old adolescent boy with anterior knee pain and a patellar chondroblastoma. Imaging revealed a radiolucent lesion, and biopsy confirmed the diagnosis. Curettage and grafting led to pain resolution, full range of motion, and sports clearance at 6 months with no recurrence. Conclusion: Patellar chondroblastomas are exceptionally rare, usually arising in long bone epiphyses. Differential diagnosis includes Langerhans cell histiocytosis, giant cell tumors, and clear cell chondrosarcoma, requiring histological and imaging analysis. Recurrence risk mandates ongoing clinical and radiological monitoring.

JBJS Journal of Orthopaedics for Physician AssistantsVol. 12(4)
Children's Hospital of Orange County (US), University of California, Irvine (US), Riverside University Health System - Medical Center (US)
Good health and well-being
Openalex Percentile: Top 60%
Bone Tumor Diagnosis and Treatments
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Rare Presentation of Chondroblastoma of the Patella, a Case Report — Amirhossein Misaghi, William Fang, et al. · JBJS Journal of Orthopaedics for Physician Assistants (2024) | TGRS Research Map | TGRS