{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:46:48Z","timestamp":1785764808898,"version":"3.56.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Osteochondromas are the most common developmental bone tumors, usually presenting in childhood or adolescence as slow-growing, painless swellings. They typically arise from the metaphyseal regions of long bones and are composed of mature bone capped by hyaline cartilage. The most frequent sites are around the knee, particularly the distal femur and proximal tibia. Growth after skeletal maturity is rare and raises concern for malignant transformation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>We report a 35-year-old male who presented with a progressively enlarging swelling in the right proximal leg, accompanied by weakness in foot dorsiflexion. The patient first noticed the mass 6 years earlier, with accelerated growth over the last 7 months. Radiographs demonstrated a giant pedunculated, cauliflower-shaped mass arising from the fibular neck. Surgical excision was performed, yielding a specimen measuring 15 \u00d7 13 \u00d7 8.5 cm. Histopathological evaluation confirmed benign osteochondroma. The patient\u2019s neurological function improved postoperatively, and no recurrence was observed during 10 months of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Osteochondromas generally cease growth following epiphyseal closure; hence, substantial enlargement in adulthood is unusual. Fibular neck involvement is rare, and compression of adjacent neurovascular structures occurs infrequently. Tumor size and anatomical location are the main predictors of complications. The current case represents one of the largest solitary osteochondromas of the fibula reported in the literature, with clinically superficial peroneal nerve compression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case underscores the importance of considering osteochondroma in adults with enlarging bony masses and neurological deficits. Timely diagnosis and surgical intervention can achieve excellent outcomes, even in giant lesions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/rc9.0000000000000033","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:07:37Z","timestamp":1768396057000},"page":"17-21","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A giant solitary osteochondroma of the fibular neck with nerve compression in a 35-year-old male: a case report from Afghanistan"],"prefix":"10.1097","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6978-2650","authenticated-orcid":false,"given":"Torgot","family":"Ghani","sequence":"first","affiliation":[{"name":"Orthopedics and Traumatology Department, Wazir Mohammad Akbar Khan (WMAK) Hospital, Kabul, Afghanistan"},{"name":"Amiri Medical Complex, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Lewall","sequence":"additional","affiliation":[{"name":"Aliabad Hospital, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turan","family":"Ghani","sequence":"additional","affiliation":[{"name":"Jawzjan Provincial Hospital, Jawzjan, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freshta","family":"Lewall","sequence":"additional","affiliation":[{"name":"Aliabad Hospital, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Ghani","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Balkh University, Balkh, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"R1-20260803","doi-asserted-by":"crossref","first-page":"41\u201344","DOI":"10.1007\/s12306-011-0101-3","article-title":"Giant osteochondroma of proximal fibula in a skeletally mature patient","volume":"95","author":"Mir","year":"2011","journal-title":"Musculoskelet Surg"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"73\u201375","DOI":"10.22271\/ortho.2017.v3.i2b.13","article-title":"Fibular head osteochondroma causing tingling numbness in leg due to entrapment neuropathy of common peroneal nerve \u2013 A rare case report","volume":"3","author":"Asadi","year":"2017","journal-title":"Int J Orthop Sci"},{"key":"R3-20260803","first-page":"47\u201350","article-title":"Giant osteochondroma of the proximal fibula: a rare case","volume":"5","author":"Kushwaha","year":"2017","journal-title":"IntJ Clin 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Rev"},{"key":"R11-20260803","doi-asserted-by":"crossref","first-page":"1071\u201375","DOI":"10.1007\/s00402-009-0944-3","article-title":"A case of extension loss of great toe due to peroneal nerve compression by an osteochondroma of the proximal fibula","volume":"130","author":"Yoo","year":"2010","journal-title":"Arch Orthop Trauma Surg"},{"key":"R12-20260803","doi-asserted-by":"crossref","first-page":"e230048","DOI":"10.1148\/rg.230048","article-title":"Radiographic Evaluation of Bone Tumors","volume":"43","author":"Gonz\u00e1lez-Huete","year":"2023","journal-title":"Radiographics"}],"container-title":["International Journal of Surgery Case 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