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An Unusual Case of Finger Fracture
1Plastic & Reconstructive Surgery, Sheikh Khalifa Medical City, Abu Dhabi, ARE.
Cureus
|December 20, 2021
Summary
This study reports a successful delayed treatment for a finger enchondroma presenting as a pathological fracture. Thorough curettage and monitoring are key to minimizing recurrence of these common bone tumors.
Area of Science:
- Orthopedic Surgery
- Oncology
- Radiology
Background:
- Enchondromas are common primary bone tumors, frequently affecting the hand.
- Treatment options range from observation to surgical interventions like curettage and bone grafting.
Observation:
- A case of a finger enchondroma presenting as a pathological fracture is detailed.
- The tumor was successfully managed using a delayed approach: initial fracture stabilization followed by tumor clearance surgery.
Findings:
- The study discusses the ongoing debate regarding early versus delayed surgical approaches for enchondromas with fractures.
- It examines the impact of leaving the cavity empty versus bone grafting after curettage on refracture and recurrence rates.
Implications:
- Thorough curettage and consistent follow-up are crucial for minimizing morbidity from enchondroma recurrence.
- The findings contribute to understanding optimal management strategies for enchondromas, particularly those presenting with pathological fractures.
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