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Scaphoid enchondroma.

B Minkowitz1, M Patel, S Minkowitz

  • 1Maimonides Medical Center, Brooklyn, New York.

Orthopaedic Review
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

Enchondromas rarely occur in carpal bones. This study highlights a scaphoid enchondroma case, emphasizing its potential to cause fractures, even after minor trauma, necessitating its inclusion in differential diagnoses for cystic scaphoid fractures.

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Area of Science:

  • Orthopedic Surgery
  • Musculoskeletal Pathology

Background:

  • Enchondromas are benign cartilaginous tumors typically found in the long bones and pelvis.
  • Carpal bone involvement, particularly in the scaphoid, is exceptionally rare.

Observation:

  • This report details a unique case of enchondroma within the scaphoid bone.
  • A review of existing literature identified three additional cases of scaphoid enchondroma.

Findings:

  • Three of the four reported scaphoid enchondromas were associated with pathologic fractures following traumatic incidents.
  • Histopathologic examination revealed characteristic findings for enchondromas in all cases.
  • Enchondromas, despite being typically asymptomatic, compromise bone integrity, predisposing to fractures.

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Implications:

  • Scaphoid enchondromas should be considered in the differential diagnosis of cystic scaphoid fractures, especially after trauma.
  • Awareness of this rare entity is crucial for accurate diagnosis and appropriate management of carpal bone lesions.
  • This finding underscores the importance of evaluating bone weakening in asymptomatic lesions.