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[Enchondroma of the hand]
1Klinik und Poliklinik für Unfall- und Handchirurgie, Westfälischen Wilhelms-Universität Münster.
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|March 1, 1995
Summary
Enchondromas, common benign hand tumors, were treated with surgery. Most patients achieved excellent results, but incomplete removal led to a 5.7% recurrence rate, necessitating follow-up X-rays.
Area of Science:
- Orthopedic Surgery
- Oncology
- Hand Surgery
Background:
- Enchondromas are the most common benign bone tumors in the hand.
- Diagnosis is often prompted by painful swelling, spontaneous fractures, or incidental findings.
Purpose of the Study:
- To review the surgical treatment outcomes for enchondromas of the hand.
- To assess recurrence rates and identify factors influencing outcomes.
Main Methods:
- Retrospective review of 52 patients with histologically confirmed enchondromas operated on between 1973 and 1986.
- Surgical techniques included simple extirpation or defect reconstruction with bone grafts.
- Follow-up ranged up to 14 years postoperatively.
Main Results:
- 81.6% of patients reported excellent or good outcomes.
- A 5.7% recurrence rate was observed in 3 patients.
- Recurrence was attributed to incomplete tumor resection.
Conclusions:
- Surgical management of hand enchondromas yields favorable outcomes.
- Incomplete resection is a significant risk factor for recurrence.
- Postoperative follow-up with X-rays is recommended to monitor for recurrence.