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Related Experiment Videos

Enchondroma of the hand

I Alawneh, A Giovanini, H R Willmen

    International Surgery
    |April 1, 1977
    PubMed
    Summary

    Surgical removal of hand enchondromas, followed by bone grafting, is a common treatment. Many patients experience pathological fractures, indicating the fragility associated with these bone tumors.

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    Area of Science:

    • Orthopedic surgery
    • Hand surgery
    • Bone pathology

    Background:

    • Enchondromas are benign cartilage tumors that commonly affect the small bones of the hand.
    • These tumors can weaken the bone, leading to pathological fractures.
    • Surgical intervention is often necessary for symptomatic enchondromas.

    Purpose of the Study:

    • To evaluate the surgical outcomes of enchondroma removal in the hand.
    • To assess the efficacy of bone grafting in reconstructing the bone defect.
    • To analyze the incidence of pathological fractures in patients with hand enchondromas.

    Main Methods:

    • Retrospective review of 33 patients with hand enchondromas who underwent surgical treatment.
    • Surgical procedure involved enucleation of the enchondroma and curettage of the tumor cavity.
    • Bone meal was used to fill the resultant bone defect.

    Main Results:

    • Thirty-three patients with hand enchondromas were surgically treated.
    • Twenty-six patients (78.8%) presented with pathological fractures of the phalanges or metacarpals prior to or during treatment.
    • The surgical technique involved enchondroma removal and bone grafting.

    Conclusions:

    • Enchondromas of the hand frequently present with pathological fractures, highlighting their potential for bone weakening.
    • Surgical management including enchondroma excision and bone grafting is a viable treatment option.
    • Further research may explore preventative strategies for pathological fractures in enchondroma patients.

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