Endoscopic-Assisted Curettage of Posterior Proximal Tibia Chondroblastoma: A Case Report and Review of Literature

Chondroblastoma is a benign cartilage-producing bone lesion that characteristically occurs in the epiphyseal region of long bones. The most typical locations are the proximal humerus, proximal femur, distal femur, and proximal tibia. There is no medical treatment for the disease; classically, it must be treated by intralesional curettage and bone grafting. A 15-year-old female patient presented with chronic knee pain with no antecedent history of trauma. Clinical examination showed deep tenderness on maximum flexion and 15 degrees extension lag with full knee flexion. Plain radiographs and knee MRI showed a lesion in the posterior part of the proximal tibia on the midline, highly suggestive of chondroblastoma. CAT-guided biopsy did not show any evidence of malignancy. Intralesional curettage assisted by endoscopic visualization was done using a small incision, and a bone graft substitute reconstructed the defect. Endoscopic-assisted curettage of benign bone lesions can be considered in challenging locations with good results.