Enchondroma in the distal phalanx of the finger

Abstract

The goal of our study was to report the clinical presentation, treatment, and complications of enchondroma in the distal phalanx of the finger. This was a retrospective study of 34 patients (19 women and 15 men) who underwent surgery between May 2004 and September 2012 for enchondroma in the distal phalanx of the finger. The average age of the patients was 39.38 ± 10.97 years old (range 14–59). The presenting symptoms and imaging features were recorded. The surgical procedure was performed under regional or general anesthesia. The surgical technique involved removal of tumors by opening a cortical window and curetting the cavity. The defects were filled with an injectable calcium phosphate cement. All patients received follow-up in our outpatient clinic every 6 months. Expansion of bone or thinning of the cortex present in the radiological imaging, including anteroposterior and lateral plain radiographs of the fingers, was used to assess for tumor recurrence. The observational end-point was reoperation.All tumors were confirmed as enchondromas by the pathological results. None of the patients had a tumor recurrence. Three patients (9% of cases) developed an infection. After antibiotic treatment, 2 patients were cured, and 1 patient required an amputation. Enchondroma in the distal phalanx of the finger presents with a variety of clinical symptoms. Injectable calcium phosphate cement is adequate for bone grafting. Postoperative infection is more common than tumor recurrence. If patients have an infection or bilateral bone cortex defects, bone grafting is challenging.Level of Evidence: Therapeutic study, Level IV

Multiple intraneural glomus tumors in different digital nerve fascicles

“…The treatment was usually surgery [15]. MRI is an effective tool to identify finger masses [14, 15]. In the present case, although MRI findings suggested that the tumor originated from the nerve, the significant increase in the signal after contrast enhancement was not consistent with the imaging features of a neuroma.…”

“…Enchondroma was the most common benign tumour of the tubular bones in hands. The treatment was usually surgery [15]. MRI is an effective tool to identify finger masses [14, 15].…”

Deep HT: A deep neural network for diagnose on MR images of tumors of the hand

“…Magnetic resonance imaging without bone artifacts, can be directly used for multi-directional (transverse, coronal, sagittal or any angle) section, showing the anatomy and lesions of soft tissue tumors. Its "flowing effect" can display vascular structures without angiographic contrast agents, so it shows uniqueness in the "no damage" of blood vessels, and the mutual identification of tumors, tendons and their vascular structures [31][32][33].…”

Painful Pseudoclubbing of a Single Nail Unit

“…They are considered the most common primary bone tumor arising in the hands, occurring mainly in the proximal phalanx [2]. Lesions of the distal phalanx are uncommon, and this location has been shown to have a female predominance in small series [3, 4]. …”