Diagnosis and treatment of joint-related tumors that mimic sports-related injuries.

Timothy A. Damron, Carol Morris, Bruce Rougraff, Robert Tamurian

Research output: Contribution to journalArticle

Abstract

Tumors involving the joint or having symptoms in the joint are rare. Both joint-related tumors and sports-related injuries can affect young, active patients, and their symptoms often overlap. Sports medicine specialists rarely encounter synovial conditions, so expertise in this area is difficult to establish. Orthopaedic oncologists often see only patients with an advanced condition. The clinical presentation of a soft-tissue sarcoma may be similar to that of a common lesion such as a synovial cyst. Some benign or malignant bone tumors cause referred pain to distant joints, possibly leading to a delay in diagnosis or inappropriate initial surgery. For example, a hip or proximal femoral bone tumor commonly causes isolated knee pain. Conversely, because the symptoms of some sports-related conditions or pseudotumors (such as a rectus femoris tear, fascial herniation, myositis ossificans, an avulsion injury, an avulsive cortical irregularity, femoral diaphyseal periostitis, or pseudotumor deltoideus) are similar to symptoms of a sarcoma, overtreatment is possible. A sports medicine physician should be familiar with these conditions to facilitate accurate and expedient diagnosis with appropriate treatment.

Original languageEnglish (US)
Pages (from-to)833-847
Number of pages15
JournalInstructional course lectures
Volume58
StatePublished - 2009
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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