One of the complications of osteochondromas is the development of a bursa over the cartilaginous cap. We report a 15-year-old boy with a rapidly expanded adventitious bursitis overlying an osteochondroma of the humerus facing the thoracic wall, a location not previously reported for such bursa formation. Magnetic resonance imaging readily showed adventitious bursitis overlying the osteochondroma, thereby dispelling concerns for malignant transformation.
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