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An Unusual Case of Finger Fracture
1Plastic & Reconstructive Surgery, Sheikh Khalifa Medical City, Abu Dhabi, ARE.
Abstract:
Enchondromas are commonly encountered primary bone tumors in the hand. They can be managed with various treatment options ranging from simple observation to curettage and bone grafting. In this study, the case of a finger enchondroma is reported; it presented as a pathological fracture. It was managed successfully using the delayed approach - initial stabilization of the fracture followed by definitive tumor clearance surgery. Concerning the early versus delayed approach used for fractures associated with enchondromas, there is an ongoing debate in the literature on whether to leave the cavity empty or fill it with bone graft after curettage. This article discusses the relevant literature on these issues and their impact on the refracture and rates of recurrence. Nevertheless, thorough curettage followed by regular monitoring in the follow-up period is important to minimize the morbidity associated with the recurrence of enchondromas.
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