Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, firm, non-tender mass located at the distal femur, proximal to the knee joint. Reports [duration] of slow-growing prominence. Denies mechanical symptoms, locking, or neurovascular compromise. No history of recent trauma or constitutional symptoms.
Clinical Examination Findings
Physical exam reveals a sessile/pedunculated bony prominence at the distal femur. Overlying skin is intact without erythema or warmth. Range of motion of the knee is full and painless. No palpable neurovascular deficits; distal pulses are 2+ and symmetric. No tenderness to palpation over the lesion.
Treatment Protocol
Observation is recommended for asymptomatic lesions. Serial clinical follow-up and radiographic imaging (X-ray) every [interval] to monitor for growth or changes in the cartilage cap. Surgical excision is reserved for symptomatic cases, neurovascular impingement, or rapid growth suggesting malignant transformation.