Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, painless, slow-growing mass at the distal right thigh. No history of trauma, night pain, or constitutional symptoms. Denies mechanical symptoms, locking, or instability of the knee joint.
Clinical Examination Findings
Physical examination reveals a firm, non-tender, sessile/pedunculated bony prominence at the distal right femur, medial/lateral aspect. No overlying skin changes, erythema, or warmth. Knee range of motion is full and painless. Neurovascular status of the right lower extremity is intact.
Treatment Protocol
Plan: Observation with serial clinical and radiographic monitoring. Surgical excision is reserved for symptomatic cases, mechanical irritation, or rapid growth. Discussed risks of recurrence and neurovascular injury if excision is pursued.