Enchondromas were most commonly located in the little finger (28.125%) and proximal phalanx (53.125%). The treatment methods for enchondromas include conservative regular follow-up or surgical excision via curettage [13, 18]. Whether the surgical removal of solitary enchondromas is necessary remains controversial Contemporary treatment of hand enchondroma involve ob- servation, curettage alone and curettage with augmentation (bone graft or cement injection) 46 enchondromata of the hand have been treated by simple curettage without bone grafting. 82% healed and 16% were left with only small bone defects. Only one patient had a clear-cut recurrence requiring re-operation Postcurettage void augmentation in the management of hand enchondroma is a debated practice. The objectives of this study are to present the outcomes of hand enchondroma treatment by curettage without void augmentation at the authors' institution and to systematically review the literature pertinent to this aspect of management
Majority of the lesions could be treated with skillful neglect and regular monitoring. Besides majority of the undisplaced/minimally displaced pathological fractures could be treated conservatively by closed reduction, immobilization by splint, application of ice packs, painkillers and hand therapy Enchondromas are benign chondrogenic tumors composed of hyaline cartilage that typically occur in medullary cavity of the diaphysis or metaphysis, most commonly in the hands. Patients typically present between the ages of 20-50 with an asymptomatic lesion, discovered incidentally on radiographs
Treatment Options for Enchondroma. Splinting and surgical removal of the enchondroma may be necessary. Enlargement of the enchondroma or new pain warrants a physician's evaluation. Treatment for your specific enchondroma will be decided by factors such as your age and activities, the extent of the growth, and its possibility for spontaneous fracture An enchondroma of the hand is usually asymptomatic, but patients can present with pain, swelling, and deformity following a pathologic fracture (Fig. 64-1). An enchondroma is a common coincidental radiographic finding. Most surgeons treat an enchondroma of the hand with an intralesional procedure. Curettage is the mainstay of surgical management
Enchondromas of short tubular bones are treated with curettage and bone grafting because they tend to deform the bony contour and interfere with function. A systematic review by Bachoura et al.. How is an enchondroma treated? Specific treatment for enchondroma will be decided by your healthcare provider based on: Your age, overall health, and medical history; Extent of the disease; Your tolerance for specific medications, procedures, or therapies; Expectations for the course of the disease; Your opinion or preference; Treatment may include: Surgery Enchondroma is the most common benign tumor that frequently occurs in hand. Curettage followed by augmentation of the void defect is the mainstay of enchondroma treatment such as autologous bone. The gold standard treatment for enchondroma in the hand is curettage and filling of the defect. The goal of this study was to evaluate the results when injectable calcium phosphate cement is used to fill the bone defect. Eight patients having a mean age of 44 years were operated through a minimally invasive skin incision. After a small bone window was made, curettage of the lesion was. Malignant transformation of solitary enchondromas of the hand to secondary chondrosarcomas is extremely rare. We report a case of a recurrent chondromatous tumor of the hand that initially presented with the typical histology of a cellular enchondroma of the small tubular bones but with clinical and radiological signs of malignancy
Unicameral bone cysts causing substantial weakness and fracture risk may be treated with surgery or injection. Suspected unicameral bone cysts in the bones of the hand are sufficiently rare that strong consideration should be given to biopsy when this lesion is suspected. Giant cell tumor of bone is locally aggressive The usual treatment of a pathologic fracture caused by an enchondroma in the hand is first to allow the broken bone to heal. This may stimulate the enchondroma to heal as well. If not, your surgeon may recommend a procedure to remove the tumor cells and place a bone graft in the bone the strengthen the bone and prevent re-injury See enchondroma vs low-grade chondrosarcoma. Nuclear medicine. Increased uptake on the bone scan can be seen with enchondromas. Intense uptake occurs with an underlying pathological fracture or cortical expansion in small bones 5. Treatment and prognosis. The majority of enchondromas remain asymptomatic and require no treatment
Usually asymptomatic or pain due to pathologic fracture. Age 20 - 49 years, no gender preference. May be due to displaced growth plate. Sites: small bones of hands and feet (rare in thumb or ribs) 70% solitary; 30% multiple. Multiple enchondromas: may produce severe deformities; associated with chondrosarcomatous transformation Damron et al. 22 reviewed 2588 tumors of the hand and found only 3 chondrosarcomas. Patients with chondrosarcoma of the hands and feet tend to be older than patients with enchondroma in these locations. Chondrosarcomas are common in the seventh and eighth decades of life, 2-4 but enchondroma is rarely diagnosed in patients older than 60 years. How is an enchondroma treated? Treatment will depend on your symptoms, age, and general health. It will also depend on how severe the condition is. Treatment may include: Surgery. In some cases, surgery is done when bone weakening is present or fractures occur. Bone grafting An enchondroma can be thought of as an island of cartilage within the bone that never transformed into normal bone. Enchondromas usually reside within the medullary canal of the bone and do not grow. In selected bones such as those of the digits of the hand or feet it may weaken the bone and predispose it to fracture Enchondroma is a solitary, benign, intramedullary cartilage tumor that is often found in the short tubular bones of the hands and feet, distal femur, and proximal humerus. The peak incidence is in the third decade and is equal between men and women. Multiple enchondromatosis is a non-heritable condition also known as Ollier's disease
Enchondroma. Enchondromas are tumors that arise from cartilage, the tissue from which most bones develop. Enchondromas usually affect the bones of the hands and feet and sometimes the long bones of the limbs. They are mostly noncancerous and rarely need treatment. Children above the age of ten and teenagers are commonly affected Enchondroma of the hand is a common benign tumor composed of mature cartilage. The age of the patients varies widely.1, 2, 3 The small bones of the hand are the most frequent anatomic site for enchondromas with approximately 40% of the cases occurring at this site.2, 3 These lesions are most frequently located in the proximal phalanx, followed by the middle phalanx, metacarpals, distal phalanx. A retrospective review for enchondroma in the hand which had undergone operative treatment is presented. Twenty patients were treated operatively over a 10-year period. A total of 70% of the patients presented with pathological fracture. Enchondromas were most commonly located in the little finger (65%) and proximal phalange (60%) Extensive curettage using a high-speed burr versus dehydrated alcohol instillation for the treatment of enchondroma of the hand. Cha SM, Shin HD, Kim KC, Park IY. J Hand Surg Eur Vol, 40(4):384-391, 24 Dec 2013 Cited by: 3 articles | PMID: 2436936 Between 1986 and 1999, we treated 13 patients who were diagnosed as having enchondroma of the hand. Surgery included tumor removal with hand curettes and high-speed burr drilling. The remaining tumor cavity was reconstructed by using bone cement and intramedullary hardware
J Hand Surg Br. 1990 Aug;15(3):331-4. Is the treatment of enchondroma in the hand by simple curettage a rewarding method? Tordai P(1), Hoglund M, Lugnegård H. Author information: (1)Department of Hand Surgery and Radiology, Sabbatsberg Hospital, Stockholm, Sweden. 46 enchondromata of the hand have been treated by simple curettage without bone. [Enchondroma of the hand]. [Article in Italian] Carozzi S. The author speaks about the treatment of the enchondroma of the hand, and report on 15 cases treated with curettage plus grafting: in 12 cases with bone auto-graft, in 2 cases with bone homo-graft; in 1 cases with amputation of 2 finger and 3 finger put in place of 2 finger
Chondrosarcoma of the hand requires a prompt and more radical treatment than enchondroma. Wide excision is recommended to avoid local recurrence or metastasis. Vie Microscopically distinguishing hand enchondroma from low-grade hand chondrosarcoma is a diagnostic challenge for pathologists, but the primary surgical treatment for both conditions is curettage because the latter has a low metastatic potential. Postoperative complications are typically joint stiffness and soft-tissue‒related deformities. Read Enchondroma of the hand - clinical evaluation of diagnosis, surgical treatment, and outcome, Der Unfallchirurg on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips Adjuvant treatment is recommended for benign aggressive tumors associated with a high recurrence rate (i.e., aneurysmal bone cyst and giant cell tumor of bone). Enchondroma . Enchondroma is a benign, slow-growing cartilage tumor. Approximately 40% arise within the small bones of the hand. It is the most common osseous tumor in the hand Enchondroma is the most common primary bone tumor of the hand. This benign, cartilaginous tumor often presents as a pathologic fracture. When hand enchondroma is suspected, less common conditions, such as multiple enchondromatosis syndromes and benign and malignant lesions, should be ruled out
DOI: 10.1016/0266-7681(90)90013-T Corpus ID: 26872979. Is the treatment of enchondroma in the hand by simple curettage a rewarding method? @article{Tordai1990IsTT, title={Is the treatment of enchondroma in the hand by simple curettage a rewarding method?}, author={P. Tordai and M. Hoglund and H. Lugneg{\aa}rd}, journal={Journal of hand surgery}, year={1990}, volume={15 3}, pages={ 331-4 } Treating an enchondroma of the hand with simple curettage with or without bone grafting biomechanically weakens the bone to nearly 70 % the strength of an intact bone, making it more susceptible to fracture. Based on this finding with demineralized bone matrix, it is inferred that cancellous bone grafting, whether autogenous or allogenic. hand enchondromas with biologic cement is superior bio- mechanically to treatment with curettage alone, or curettage and bone grafting, and that the addition of biologic cemen Enchondroma of the hand is a common lesion with a recurrence rate of up to 13.3% after curettage and bone grafting. Pathologic fractures often occur. Although allograft bone chips are widely used in the surgical treatment of enchondroma, the use of structural allograft bone has not been reported before To evaluate the treatment outcomes of enchondroma of the hand with artificial bone substitute versus autologous (iliac) bone graft. Historical cohort study. Tertiary referral centre, Hong Kong
About 90% of the hand bone tumors are enchondromas. Treatment of choice is complete curettage and bone grafting, usually with bone autografts. We present a case of finger enchondroma in a 27-year-old female patient who was treated with curettage and synthetic bone grafting Treatment of hand enchondroma with injectable calcium phosphate cement: a series of eight cases. Rajeh MA, Diaz JJ, Facca S, Matheron AS, Gouzou S, Liverneaux P Eur J Orthop Surg Traumatol 2017 Feb;27(2):251-254 Enchondroma Enchondroma tumors are the most common bony tumor of the hand. They can also appear in the upper arm and thigh. Enchondroma is a noncancerous (benign) cartilage tumor that grows on the inside of the bone. Enchondroma tumors typically begin in childhood but stop growing bone tumour found in the hand, but can also occur at the femur, humerus and tibia. Proximal phalanx is the commonest affected bone of hand followed by middle phalanx, metacarpals, distal phalanx and rarely the carpal bones. Removal by curettage and bone grafting is the most common treatment for enchondroma. MATERIALS & METHODS
An enchondroma is a type of noncancerous bone tumor that begins in cartilage. An enchondroma most often affects the cartilage that lines the inside of the bones. It often affects the tiny long bones of the hands and feet. It may also affect other bones such as the femur (thighbone), humerus (upper arm bone), or tibia (one of the two lower leg bones) SummaryEnchondroma are benign cartilaginous tumors and are localized most often at the site of the phalanges. Between 1982 and 1993 73 patients with monostotic enchondroma and 5 patients with polyostotic enchondroma were operated at our clinic. Clinical signs of monostotic tumors were pathological fracture (38.4 %), pain or swelling. Eleven percent of cases were accidental findings Treatment of hand enchondroma with injectable calcium phosphate cement: a series of eight cases Mohammad Al Rajeh, Juan José Hidalgo Diaz, Sybille Facca, Anne Sophie Matheron and Stéphanie Gouzou et al Hand pain, if the tumor is very large or if the affected bone has weakened and caused a hand fracture Enlargement of the affected finger; Slow bone growth in the affected area; The symptoms of enchondroma may look like other medical problems. Always talk with your healthcare provider for a diagnosis
Enchondromas are the most common type of bone tumor in the hand. Boys and girls of any racial background can be affected. In general, enchondromas appear in adolescence or early adulthood. Most researchers believe that enchondromas occur as a result of abnormal growth of the cartilage from the growth plate at the ends of the bones treated by intralesional excision rather than wide excision. A thor-ough evaluation of the clinical pre-sentation, radiographic findings, and histologic appearance is neces-sary to determine the most appro-priate treatment (Table 1). Clinical Presentation Enchondroma involving a metacar-pal or phalanx of the hand may pre-sent as pathologic. Tumours of the skeleton of the hand are rare. While the majority of bone tumours are benign (89.4%), a small number show signs of malignancy (4.4%). Among the benign bone tumours of the skeleton of the hand, enchondromas are the most common, at 35-65%. In the period from 1998 to 2005, a total of 35 enchondromas on the hand were diagnosed at the Trauma Center Lorenz Boehler An enchondroma most often affects the cartilage that lines the inside of the bones. It often affects the tiny long bones of the hands and feet. It may also affect other bones such as the thighbone (femur), upper arm bone (humerus), or one of the two lower leg bones (tibia). An enchondroma may happen as one or several tumors
The following report will review chondrosarcomas involving the hands, help differentiate between low-grade chondrosarcomas and enchondromas, and briefly cover treatment modalities. <i>Case</i>. Chondrosarcomas are the second most common primary malignant sarcoma of the bone, though it is overall a rare tumor Objective: To report the results of treatment of enchondroma of the hand with curettage and porous bioceramic bone grafting. Methods: Fifteen patients with digital enchondroma were reviewed. The average follow-up period was 30 months. The final function and radiographic appearance of the surgically treated digits were analyzed. Results: At final evaluation the bony incorporation was uneventful.
We investigated whether cortico-cancellous allograft obtained from cadaveric banked bone is effective in the treatment of enchondroma of the hand. Twelve patients had 15 operations on 19 enchondromas using allograft bone. These patients were compared with 16 patients with enchondroma treated with. hand bones operative retrospective studies risk factors surgical procedures treatment outcome abstract A retrospective review for enchondroma in the hand which had undergone operative treatment is presented. Twenty patients were treated operatively over a 10-year period. A total of 70% of the patients presented with pathological fracture Background/PurposeCurettage followed by the application of iliac crest autograft was the traditional treatment of hand enchondroma in Princess Margaret Hospital, Hong Kong.MethodsWe reviewed the re.. not usually required in the hand. What treatments are available for enchondroma? With no symptoms a review in clinic with xrays is all that is required. If the bone is broken standard treatment for the fracture is undertaken. Once the bone has healed a small operation to open up the bone, scrape out the soft cartilage and fill the hole wit Enchondroma. - Simple curettage w/o bone grafting for enchondromata of hand: with special reference to replacement of cortical window. - Low risk of recurrence of enchondroma and low grade chondrosarcoma in extremities: 80 patients followed for 2-25 years . - during active phase in adolesence, the lesion may slowly enlarge. - prognosis for.
130 Malignant Transformation of a Hand Enchondroma Vegas. The usual treatment for an enchondroma is curettageand defect filling with autologous tissue or a bone replacement. The skeletal chondrosarcoma family is a heterogeneous group of malignant mesenchymal bone tumors character The side effects of an enchondroma may include enlargement of the affected finger, hand pain, and slow bone growth in the affected area. Healthy protein sources, antioxidants, and omega-3 fatty acids can help prevent an enchondroma. Treatment for an enchondroma includes bone grafting and surgery Treatment of the Enchondroma. The type of treatment will be determined by the specialist doctor, depending on the following conditions: Medical history of the patient, the state of health that presents and if he has suffered from previous diseases linked to the bone structure How is an enchondroma diagnosed? Because an individual with an enchondroma has few symptoms, diagnosis is sometimes made during a routine physical examination, or if the presence of the tumor leads to a fracture in the hand. In addition to a complete medical history and physical examination, diagnostic procedures for enchondroma may include
Hi, My name is Natalie, I am writing to you as I am interested in your opinion, I had a solitary enchondroma in the 2nd metacarple of my right hand which ate a hole in my bone and was poking up out of my bone, I had a bone curettage done where they scaped out the bone tumor and filled the hole in the bone with a bone cement, I had a bone scan done 2 years proir to my diagnosis of a solitary. Enchondromas are the most common type of bone tumor found in the hand. Boys and girls are equally affected. They can occur at any age but usually enchondromas are not discovered until people are in their 30s or 40s. Periosteal chondromas are extremely rare Enchondroma is the most common benign tumor of the hand. It is usually asymptomatic and is frequently discovered incidentally on radiographs. Associated pain should raise suspicion for pathologic fracture ( Fig 1 ), which, if nondisplaced, may be better characterized on CT images than on radiographs Enchondromas are common benign lesions of the hand. Recurrent lesions, however, may behave notoriously. A potential malignant transformation should be kept in mind while treating such tumors. We report a case of recurrent enchondroma of the first metacarpal of the right hand in a 37-year-old lady
Microscopically, enchondroma is hypocellular with few double-nucleated cells without cytologic atypia, but cellularity may vary. There is no permeation of morrow. The matrix does not show any myxoid change. Calcification and ossification are common. Histologic appearance of enchondroma may recall that of a grade-1 chondrosarcoma. The permeation. Enchondroma Enchondroma is a benign intramedul-lary tumor consisting of hyaline cartilage. It is the most common tumor involving the bones of the hand, accounting for up to 50% of all primary tumors in this anatomic re-T umors and tumorlike lesions of the tubular bones of the hand are commonly encountered by radi-ologists and are often discovere
An enchondroma is a benign tumor that forms in the central part of the bone where bone marrow is stored. Enchondromas are made up of cartilage, a tough, flexible connective tissue found in many areas in the body. Enchondromas often occur in the small bones of the hand and feet or in the long bones of the arms and legs Enchondroma is the most predominant osseous tumor of the hand and is seen most frequently in the metacarpals and phalanges of the hand, but rarely affects the carpal bones, and accounts for approximately one fourth of all benign tumors. Enchon-dromas do not show a sex predilection, and can occur at any age, although most frequently they are. ENCHONDROMA OF THE SECOND METACARPAL BONE Segmental Resection of Tumor and Replacement by Bone Gruft- A Case Report FREDERICK M. SMITH, M.D. T HE case to be revorted has several unusual feature\, chiefly its location and treatment. An enchondroma or central chondroma located in a metacarpal bone is not a common lesion The purpose of this retrospective study was to compare the clinical and radiological outcomes of patients treated with different adjuvant methods after curettage for enchondromas of the hand. Sixty..
BACKGROUND: Postcurettage void augmentation in the management of hand enchondroma is a debated practice. The objectives of this study are to present the outcomes of hand enchondroma treatment by curettage without void augmentation at the authors' institution and to systematically review the literature pertinent to this aspect of management Enchondroma is a type of benign bone tumor belonging to the group of cartilage tumors. There may be no symptoms, or it may present typically in the short tubular bones of the hands with a swelling, pain or pathological fracture. Diagnosis is by X-ray, CT scan and sometimes MRI. Most occur as a less than three centimetre size single tumor. When several occur in one long bone or several bones. If an enchondroma is causing weakening of the bone that may lead to pathologic fracture, the enchondroma may also be removed in that situation. The other reason for treatment to occur is if there is a concern about the development of malignant transformation of one of the enchondromas into chondrosarcoma
Osteochondroma. An osteochondroma is a benign (noncancerous) tumor that develops during childhood or adolescence. It is an abnormal growth that forms on the surface of a bone near the growth plate. Growth plates are areas of developing cartilage tissue near the ends of long bones in children. Bone growth occurs from the growth plate, and when a. Ollier disease is a rare sporadic nonhereditary skeletal disorder in which typically benign cartilaginous tumors (enchondromas) develop near the growth plate cartilage.This is caused by cartilage rests that grow and reside within the metaphysis or diaphysis and eventually mineralize over time to form multiple enchondromas. Key signs of the disorder include asymmetry and shortening of the limb. O'Connor MI, Bancroft LW. Benign and malignant cartilage tumors of the hand. Hand Clin. 2004 Aug. 20 (3):317-23, vi. . Gajewski DA, Burnette JB, Murphey MD, Temple HT. Differentiating clinical and radiographic features of enchondroma and secondary chondrosarcoma in the foot. Foot Ankle Int. 2006 Apr. 27 (4):240-4. . Chow WA
