Enchondromas of the Hand: Factors Affecting Recurrence, Healing, Motion, and Malignant Transformation

Sassoon AA, Fitz-Gibbon PD, Harmsen WS, et al (Mayo Clinic, Rochester, MN) J Hand Surg 37A:1229-1234, 2012^§

Abstract

Purpose

Enchondromas represent the most common primary bone tumor in the hand. Despite their frequency, a standardized treatment protocol is lacking. This study examines the outcome of surgically treated enchondromas of the hand with regard to tumor location, graft choice, and presence or absence of fracture.

Methods

We retrospectively reviewed 102 enchondromas in 80 patients, identified between 1991 and 2008, with a mean clinical follow-up of 38 months. We assessed the effects of age, tumor location, and graft choice on outcomes for all lesions. Patients presenting with Ollier disease, Maffucci syndrome, pathologic fractures, or recurrent disease were separated for additional analysis.

Results

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