Lone enchondromas of the hand. Long term followup after surgical treatment.
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Published:
Jul 28, 2017
Keywords:
Lone enchondroma, hand, postoperative function, complications.
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Abstract
IntroductionLone enchondromas are the most common tumors of the hand. Approximately 40% compromise this upper extremity, with a preference for cubital rays and proximal phalanges. The risk of malignancy to chondrosarcoma is 1% and the risk of recurrence is between 2 and 15%. Considering the latter, this study describes the experience and results of a large number of patients with a long-term follow-up.MethodsThis is a descriptive, retrospective, case series study. Patients with confirmed diagnosis of lone enchondroma of the hand that were treated with tumor resection, curettage and iliac crest or radius autograft placement were included. After the surgical treatment, hand function assessed with the Takigawa classification, the radiological results and the frequency of complications or recurrence were evaluated.ResultsNineteen patients with a mean follow-up of 11 years were included. According to the Takigawa classification, function was excellent in 16 patients (84,2%) and good in 3 (15,7%). One patient presented with incisional superficial surgical site infection that resolved completely. No cases of recurrence were identified.ConclusionsWithin the patients assessed, good functional and radiological results were obtained after surgical treatment. Enconcdromas can present a risk of pathological fractures, recurrence and in a lesser proportion malignization, however, none of these complications were identified. The results of a simple surgical treatment option with good and excellent long-term results are described.
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Suárez Zarrate, J. A., Rojas Duque, G., & Hernández Ramírez, R. (2017). Lone enchondromas of the hand. Long term followup after surgical treatment. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 82(3), 189-194. https://doi.org/10.15417/680
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Clinical Research
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18. Huseyin Y, Tackin O, Erhan C, et al. Long-term results of autograft and allograft applications in hand enchondromas. acta Orthop Traumatol Turc 2004;38:337e42
19. M. Figl, M Leixnering. Simple curettage without bone grafting for enchondromata of the hand: with special reference to replacement of the cortical windowt.
20. S. Yokokura, H. Kawano, A. Yamamoto, K. Matsuda. Retrospective review of outcome after surgical treatment of enchondromas in the hand. Arch Orthop Trauma Surg (2009) 129:729–734.
21. R gaulke, g suppelna. Solitary enchondroma at the hand long-term follow-up study after operative reatment. Journal of hand surgery (british and european volume, 2004) 29b: 1: 64–66
22. Kuur, L. Hansen, S. Lindequist. Treatment of solitary enchondromas in fingers. Journal of hand surgery (British volume, 1989) 148 : 109-i 12
23. M Figl, M Leixnering. Retrospective review of outcome after surgical treatment of enchondromas in the hand. Arch Orthop Trauma Surg (2009) 129:729–734.
24. Jacob Bickels, MD, James C,et al. Enchondromas of the Hand: Treatment With Curettage and Cemented Internal Fixation. The Journal of Hand Surgery / Vol. 27A No. 5 September 2002.
2. Dorfman HD, Czerniak B. Bone tumors. St LouiS (MO): Mosby; 1998. p. 253–440.
3. Huvos AG 1991: bone tumors : diagnosis treatment , and prognosis. Ed 2 W Saunders Company, philadelphia.
4. Dorfman HD, Czerniak B. bening cartilage lesions. In: dorfamn HD;Czerniak B eds, bone tumors. St Louis: mosby 1998:253-276.
5. Noble J Encohondroma of bones of the hand . hand 1974; 275-284
6. Takigawa K condroma of the bones of the hand. A review 110 a review of 110 cases. J bone joint surgery 1971 ; 53ª 1591-1600
7. Vila L, reith J. well differentiated central cartilage tumors of bone: an overview. Surgical Pathology 5 (2012) 147–161.
8. Gaulke R, Preisser P. Das ‘sekundare’ Chondrosarkom der Hand. Fallbeschreibungen und Aufarbeitung der Literatur. [Secondary chondrosarcoma of the hand. Case reports and review of liter). 1997
9. B gunawan et al clonal chromosome abnormalities in enchondromas an chondrosarcomas. Cáncer genet cytogenet 120:127-130 (2000)
10. Figl M, Leixnering M. Retrospective review of outcome after surgical treatment of enchondromas in the hand. Arch Orthop Trauma Surg 2009;129:729 –734.
11. O’Connor MI, Bncroft LW. Benign and malignant cartilage tumors of the hand. Hand Clin 2004;20:317–323, vi
12. Adam A Sassoon, Patrick fitz Gibobn. Enchondromas of the Hand: Factors Affecting Recurrence, Healing, Motion, and Malignant Transformation The Journal of Hand Surgery Vol. 37A
13. Masataka, Yasuda, Kazuhiro, treatment of Enchondroma of the Hand with Injectable Calcium Phosphate Bone Cement. The Journal of Hand Surgery Volume 31, Issue 1, January 2006, Pages 98–102,
14. Kwok Tsz-Yeung, Wong Hin-Keung. Evolving Treatment Modality of Hand Enchondroma in a Local Hospital: From Autograft to Artificial Bone Substitutes. Journal of Orthopaedics, Trauma and Rehabilitation 20 (2016)
15. T. Goto. Simple curettage without bone grafting for enchondromata of the hand: with special reference to replacement of the cortical window. Journal of Hand Surgery (British and European Volume, 2002) 27B: 5: 446–451 R.
16. Gaulke. The distribution of solitary enchondromata at the hand. Journal of hand surgery (British And European Volume, 2002) 27b: 5: 444–445
17. Dorfman HD, Czerniak B. bening cartilage lesions. In: dorfamn HD;Czerniak B eds, bone tumors. St Louis: mosby 1998:253-276.
18. Huseyin Y, Tackin O, Erhan C, et al. Long-term results of autograft and allograft applications in hand enchondromas. acta Orthop Traumatol Turc 2004;38:337e42
19. M. Figl, M Leixnering. Simple curettage without bone grafting for enchondromata of the hand: with special reference to replacement of the cortical windowt.
20. S. Yokokura, H. Kawano, A. Yamamoto, K. Matsuda. Retrospective review of outcome after surgical treatment of enchondromas in the hand. Arch Orthop Trauma Surg (2009) 129:729–734.
21. R gaulke, g suppelna. Solitary enchondroma at the hand long-term follow-up study after operative reatment. Journal of hand surgery (british and european volume, 2004) 29b: 1: 64–66
22. Kuur, L. Hansen, S. Lindequist. Treatment of solitary enchondromas in fingers. Journal of hand surgery (British volume, 1989) 148 : 109-i 12
23. M Figl, M Leixnering. Retrospective review of outcome after surgical treatment of enchondromas in the hand. Arch Orthop Trauma Surg (2009) 129:729–734.
24. Jacob Bickels, MD, James C,et al. Enchondromas of the Hand: Treatment With Curettage and Cemented Internal Fixation. The Journal of Hand Surgery / Vol. 27A No. 5 September 2002.