[Scaphoid enchondroma revealed by a fracture]

Area of Science:

• Orthopedic Surgery
• Bone Pathology
• Radiology

Background:

• Enchondromas are benign cartilaginous tumors typically found in the small bones of the hands.
• Localization of enchondromas within the scaphoid bone is exceptionally rare.
• Pathological fractures can be the initial presentation of asymptomatic bone tumors.

Observation:

• A case of enchondroma presenting as a pathological fracture of the scaphoid bone is described.
• Standard radiography provided initial diagnostic clues.
• Anatomic pathology examination confirmed the diagnosis of enchondroma.

Findings:

• The tumor was successfully treated with surgical enucleation (tumor removal).
• Bone grafting was performed to reconstruct the scaphoid defect.
• Osteosynthesis (internal fixation) was utilized to stabilize the bone.

Implications:

• This case expands the understanding of rare enchondroma presentations in the scaphoid.
• It underscores the importance of considering enchondroma in scaphoid fractures with atypical features.
• The described surgical approach demonstrates a viable treatment strategy for scaphoid enchondromas.