Treatment of Enchondroma in the Hands and Feet

Purpose: The purpose of this study was to suggest an appropriate treatment method by comparing nonsurgical treatment and surgical treatment for enchondroma in the hands and feet. Materials and Methods: Seventy four cases with enchondroma of the hands and feet from January 1996 to March 2017 were selected to evaluate the functional outcomes. Thirty cases were treated with nonsurgical treatment, and 44 cases were treated with surgical treatment, such as curettage only or curettage with a bone graft. The mean follow-up period was 18.1 months. The functional results were analyzed using the Wilhelm and Feldmeier formula. Results: The mean age was 38 years, and the age range was between eight and 69 years. According to the Wilhelm and Feldmeier formula, the mean score of hand enchondroma was 3.09±0.85 and 3.20±0.91 in the non-operative and operative group, respectively. The mean scores of the foot except for the grip strength were 2.57±0.79 and 2.75±0.50, respectively. No significant difference was observed according to the functional results. Among the 18 cases of enchondroma with pathological fractures, nine cases were treated non-surgically and nine cases were treated by surgically. In all 18 cases, complete bone healing was observed at the final follow-up. Conclusion: Relatively satisfactory results were obtained in both surgical and nonsurgical treatment and there was no significant difference in functional outcomes. In cases of enchondroma in the hands and feet, nonsurgical treatment can also be a good treatment option.

[1]  L. Ramos-Pascua,et al.  Nonsurgical Treatment as Alternative to Surgical Treatment in Enchondromas of the Distal Phalanx. Analysis of a Series of 11 Cases. , 2018, The Journal of hand surgery.

[2]  J. Kim,et al.  Clinical and Radiographic Outcomes of Simple Curettage and Graft Using Allogenic Bone or Bone Substitute for Enchondroma Involving Short Tubular Bone of the Hand and Foot , 2016 .

[3]  Stephanie Stephanie,et al.  Enchondroma of the Foot. , 2015, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[4]  M. Fok,et al.  Current management of hand enchondroma: a review. , 2015, Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand.

[5]  H. Min,et al.  Enchondroma of the Calcaneus: A Case Report , 2010 .

[6]  M. Murphey,et al.  Differentiating Clinical and Radiographic Features of Enchondroma and Secondary Chondrosarcoma in the Foot , 2006, Foot & ankle international.

[7]  K. Shin,et al.  Enchondroma of a Digit Treated by Curettage Only , 2004 .

[8]  P. Müller,et al.  Solitary enchondromas: is radiographic follow-up sufficient in patients with asymptomatic lesions? , 2003, Acta orthopaedica Belgica.

[9]  E. Moon,et al.  Treatment of Enchondromas of the Hand with Heterograft Bone , 2002 .

[10]  P. Tordai,et al.  Is the Treatment of Enchondroma in the Hand by Simple Curettage a Rewarding Method? , 1990, Journal of hand surgery.

[11]  K. Wilhelm,et al.  [Enchondroma of the hand skeleton. Surgical treatment and results (author's transl)]. , 1974, Archiv fur orthopadische und Unfall-Chirurgie.