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Enchondroma in the hand retrospective study--recurrence cases
Lidia Merida Montero1, Yoshikazu Ikuta, Osamu Ishida
1Department of Orthopaedic Surgery, Hiroshima University School of Medicine, Minami-Ku, Hiroshima 734-8551, Japan.
Summary
Recurrence of hand enchondroma after curettage and bone grafting is possible, even years later. This study found hand enchondroma more common on the ulnar side.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Oncology
Background:
- Enchondroma is a common benign bone tumor.
- Surgical intervention is frequently required for symptomatic or problematic enchondromas.
- Recurrence rates and long-term outcomes require further investigation.
Purpose of the Study:
- To analyze the recurrence rate of hand enchondroma after surgical treatment.
- To evaluate the effectiveness of conventional curettage and bone grafting.
- To identify any specific sites or patient factors associated with recurrence.
Main Methods:
- Retrospective analysis of 21 patients with hand enchondroma.
- Surgical treatment involved conventional curettage and bone grafting.
- Data collected on patient demographics, surgical procedures, and follow-up outcomes.
Main Results:
- One patient (4.7%) experienced recurrence six years post-surgery.
- Enchondroma of the hand was observed to be more prevalent on the ulnar side.
- The study highlights the potential for late recurrences, even after five years.
Conclusions:
- Conventional curettage and bone grafting can be effective for hand enchondroma.
- A longer follow-up period is recommended due to the possibility of late recurrences.
- Hand enchondromas show a predilection for the ulnar aspect of the hand.