Proximal Phalanx Enchondroma with Pathological Fracture Treated with Curettage and Bone Substitute Placement - A Case
Nirvin Paul1, Raghavendra Kaganur1, Anto Gopurathingal2
1Department of Trauma Surgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, India.
Introduction:
Enchondromas are predominantly seen in short tubular bones and are usually symptomless and the onset of pain may indicate a pathological fracture in most cases or malignant transformation in rare instances. Here, we report a case of proximal phalanx enchondroma with pathological fracture treated with synthetic bone substitute placement.
Case Report:
A 19-year-old girl presented to the outpatient department with complaints of swelling over the right little finger. She was evaluated for the same and a roentgenogram revealed a well-defined lytic lesion in the right little finger proximal phalanx. She was planned for conservative management, but she presented 2 weeks later with an increase in pain following trivial trauma.
Conclusion:
Synthetic bone substitutes are excellent materials for filling the void in benign conditions as they form resorbable scaffolds which have good osteoconductive properties and are associated with no donor site morbidity.
