Bilateral Solitary Osteochondroma of the Bicipital Tuberosity Accompanied with Painful Clicking: A Case Report and Literature Review.

ABSTRACT

Although osteochondroma is a benign bone tumor often observed in daily practice, solitary osteochondroma of the bicipital tuberosity is rarely observed. Herein, we report a case of bilateral solitary osteochondroma of the bicipital tuberosity. A 76-year-old woman experienced crackling and painful clicking bilaterally in her proximal forearms during pronation-supination. X-ray imaging, computed tomography, and magnetic resonance imaging revealed that the symptom was caused by bilateral solitary osteochondroma of the bicipital tuberosity. Bone tumor resection was performed on both sides. After surgery, the symptoms improved. X-ray imaging performed 2 years after surgery revealed no tumor recurrence. When painful clicking occurs around the elbow joint, a solitary osteochondroma of the bicipital tuberosity should be suspected; this symptom should be examined, and the surgeon should consider surgery positively. Exposed subchondral bone may rub against, collide with, or impinge upon the ulna during forearm pronation-supination and induce pain.