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Solitary osteochondroma is a benign bone tumor characterized by the presence of a cartilage-capped bony outgrowth that typically develops during skeletal growth, often seen during childhood and adolescence. This benign lesion is most commonly found in the metaphysis of long bones, particularly around the knee, in the proximal humerus, and in the pelvis. Solitary osteochondromas usually arise from the outer cortex of the bone and can vary significantly in size, with some remaining small and asymptomatic while others may grow to considerable dimensions, potentially leading to complications. The etiology of solitary osteochondroma is largely related to genetic factors, and although they can occur sporadically, they are frequently associated with hereditary syndromes such as hereditary multiple exostoses (HME) when multiple lesions are present. Clinically, these tumors are often asymptomatic; however, some patients may experience pain, especially if the lesion compresses nearby structures or affects joint function. A palpable hard mass may also be noted in cases where the tumor is superficial. Radiographically, solitary osteochondromas are characterized by a typical appearance on X-rays, where they appear as a bony protrusion with a well-defined cortex and a cartilage cap, detectable in various imaging modalities such as Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) which can provide further insight into the lesion's size and relationship with surrounding soft tissues. The growth of solitary osteochondromas generally ceases after skeletal maturity, although in some cases, they can persist without significant changes. While these lesions are benign and asymptomatic in most cases, there is a small risk for malignant transformation into a chondrosarcoma, particularly in cases where the osteochondroma is olligostotic or presents with certain morphological changes. Management of solitary osteochondromas often includes observation in asymptomatic cases; however, surgical excision is recommended if complications arise, including pain, restriction of movement, or suspicion of malignancy. The surgical approach usually involves removing the entire tumor and its cartilage cap to minimize the risk of recurrence. Postoperative outcomes are generally favorable, with most patients experiencing complete relief of symptoms and a low recurrence rate. Long-term follow-up may be warranted to monitor any potential complications, especially in patients with a history of multiple osteochondromas. Overall, solitary osteochondroma represents a significant aspect of skeletal development, highlighting the importance of recognizing its benign nature and distinguishing it from other more serious bone lesions in clinical practice.