Enchondromas of the hand: Retrospective evaluation of 33 cases Elin enkondromları: 33 vakanın retrospektif değerlendirilmesi

Aim: To present the demographic evaluation and distribution of the enchondromas of the hand which were treated by curettage with bone grafting or isolated curettage. Material and Methods: We retrospectively evaluated the 798 patients who were operated because of hand tumors and pathological diagnosis was made in the same hospital between 2007 and 2019. Age, gender, affected side and location of the tumor of the patients who were diagnosed with enchondroma of the hand and could be follow-up minimum of one year were evaluated accordingly. Results: A total of 33 patients (mean age 36.4 years; range 6 to 77 years) with 34 enchondromas of the hand were included. Fifteen (45%) out of 33 patients were male and 18 (55%) were female. Twenty (61%) out of 33 had enchondroma on the right hand and 13 (39%) had on the left. One patient (3%) had enchondroma on his two fingers. Seventeen (52%) patients had enchondromas on their proximal phalanges, seven (21%) had on the middle phalanges, seven (21%) had on the distal phalanges (Total eight distal phalanges) and two (6%) had on metacarpals. One patient (3%) had enchondroma on her thumb, six (18.2%) had on the index finger, five (15.1%) had on the third finger, 11 (33.3%) had on the ring finger and nine patients (27.3%) had enchondromas on their little finger. Conclusion: Enchondromas are usually seen on the ulnar side of the right hand and frequently seen on the proximal phalanges and may cause pathological fractures.

[1]  Osman Civan,et al.  Tumorous conditions of the pediatric hand and wrist: Ten-year experience of a single center , 2020, Joint diseases and related surgery.

[2]  Ali Cavit,et al.  Surgical Treatment of Solitary Enchondromas of the Hand , 2020, Cureus.

[3]  H. Tsuchiya,et al.  Distribution of Solitary and Multiple Enchondromas of the Hand , 2019, In Vivo.

[4]  Gabriel Costa Serrão de Araújo,et al.  Enchondromas of the Hand: A 20-year Experience * , 2019, Revista brasileira de ortopedia.

[5]  Ali Cavit,et al.  Tumorous Conditions of the Hand: A Retrospective Review of 402 Cases. , 2018, Turk patoloji dergisi.

[6]  J. Lubahn,et al.  Enchondroma of the Hand: Evaluation and Management , 2016, The Journal of the American Academy of Orthopaedic Surgeons.

[7]  InWha Park,et al.  Extensive curettage using a high-speed burr versus dehydrated alcohol instillation for the treatment of enchondroma of the hand , 2015, The Journal of hand surgery, European volume.

[8]  J. Lubahn,et al.  The surgical management of hand enchondroma without postcurettage void augmentation: authors’ experience and a systematic review , 2015, Hand.

[9]  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.

[10]  M. Armangil,et al.  Management of tumors and tumor-like lesions of the hand: a review of 191 patients. , 2013, Eklem hastaliklari ve cerrahisi = Joint diseases & related surgery.

[11]  W. Harmsen,et al.  Enchondromas of the hand: factors affecting recurrence, healing, motion, and malignant transformation. , 2012, The Journal of hand surgery.

[12]  M. Figl,et al.  Retrospective review of outcome after surgical treatment of enchondromas in the hand , 2009, Archives of Orthopaedic and Trauma Surgery.

[13]  R. Gaulke The Distribution of Solitary Enchondromata at the Hand , 2002, Journal of hand surgery.

[14]  P. Leung Tumours of Hand , 1981, The Hand.