title: [Surgical treatment of osteochondromas: indication in "Strategic Exostosis"].
abstract: The osteochondromas represents is the most frequent benign lesion interesting the bone tissue. This lesion, often asymptomatic, can arise through mechanical, irritative or painful syndromes: "strategic exostosis".
  
  
  
  In our present study we retrospectively evaluated 65 Caucasian patients, which have been treated surgically for symptomatic solitary exostosis from March 2004 to Jan 2011. The most frequent symptom referred by patient has been represented by pain. The others complains were related to nervous compression, esthetic injury and a reduction of range of motion. By using the VAS score we evaluated the post-operative bone pain at 3, 12 and 24 months. At the end of follow up we evaluated by a validated questionnaire the grade of patient satisfaction.
  
  
  
  No major surgical complication were found. The rate of disease recidivism was null. Only a small group of patient referred a persisting pain in the lesion area during the two years follow up. In this subgroup the rate of satisfaction was obviously reduced.
  
  
  
  In our opinion the surgical treatment of strategic exostosis, is safe and it should be recommended, since it allows to eliminate the noise with a low incidence of complications. The large majority of out patients were satisfied of the clinical improvement they experienced.
authors.affiliation: Dipartimenti di 1Emergenza e Accettazione, Ortopedia e Traumatologia B. Policlinico Umberto I, Università "Sapienza", Roma, Italia.
authors.forename: L
authors.initials: L
authors.lastname: Di Giorgio
authors.affiliation: Dipartimenti di 1Emergenza e Accettazione, Ortopedia e Traumatologia B. Policlinico Umberto I, Università "Sapienza", Roma, Italia.
authors.forename: R
authors.initials: R
authors.lastname: Lanzone
authors.affiliation: Dipartimenti di 1Emergenza e Accettazione, Ortopedia e Traumatologia B. Policlinico Umberto I, Università "Sapienza", Roma, Italia.
authors.forename: L
authors.initials: L
authors.lastname: Sodano
authors.affiliation: Dipartimenti di 1Emergenza e Accettazione, Ortopedia e Traumatologia B. Policlinico Umberto I, Università "Sapienza", Roma, Italia.
authors.forename: B
authors.initials: B
authors.lastname: Di Paola
authors.affiliation: Dipartimenti di 1Emergenza e Accettazione, Ortopedia e Traumatologia B. Policlinico Umberto I, Università "Sapienza", Roma, Italia.
authors.forename: G
authors.initials: G
authors.lastname: Touloupakis
authors.affiliation: Dipartimenti di Scienze Radiologiche, Oncologiche e Anatomo-Patologiche. Policlinico Umberto I, Università "Sapienza", Roma, Italia.
authors.forename: M
authors.initials: M
authors.lastname: Mastantuono
mesh_terms: D001859:Bone Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005096:Exostoses / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D015831:Osteochondroma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D017060:Patient Satisfaction; D016059:Range of Motion, Articular; D012189:Retrospective Studies
keywords: Bone cancer; Osteochondroma; Strategic exostosis; Symptomatic solitary osteochondromas