Solitary Intra-Articular Osteochondroma of the Finger

Goo Hyun Baek; Seung Hwan Rhee; Moon Sang Chung; Young Ho Lee; Hyun Sik Gong; Eung Shick Kang; Jae Kwang Kim
May 2010
Journal of Bone & Joint Surgery, American Volume;May2010, Vol. 92-A Issue 5, p1137
Academic Journal
Background: A solitary osteochondroma of the finger occasionally occurs intra-articularly and may cause clinical symptoms, including limited motion and deformity. The present report describes the clinical features and the results of operative treatment for a series of patients who had a solitary intra-articular osteochondroma of the finger. Methods: Ten patients with a solitary intra-articular osteochondroma of a phalanx of a finger were managed surgically. Eight patients were male, and two were female. The average age at the time of surgery was fourteen years. Treatment consisted of mass excision for three patients and mass excision with corrective osteotomy for six. One additional patient had a boutonniere deformity and underwent extensor tendon reconstruction combined with mass excision. The average duration of follow-up was forty-four months. Results: The proximal phalanx was affected in six patients, and the middle phalanx was affected in four. All tumors involved the distal epiphysis. All patients had postoperative improvement in terms of deformity and/or limitation of motion. Six patients had a preoperative mean coronal plane deformity of 29°, which improved to 4° after surgery. The preoperative mean arc of flexion-extension improved from 54° to 78° in four patients who had a motion deficit at the proximal interphalangeal joint and from 600 to 80° in one patient who had a motion deficit at the distal interphalangeal joint. Two patients had a residual flexion contracture, one with preexisting osteoarthritis and one with a longstanding progressive boutonniere deformity. There were no other complications or recurrences. Conclusions: Isolated intra-articular osteochondroma of the finger can cause deformity and/or motion limitation. Early mass excision and corrective osteotomy when indicated are recommended to restore full range of motion and to prevent osteoarthritis and secondary deformity.


Related Articles

  • Locking of the metacarpophalangeal joint of the thumb with the radial collateral ligament rupture after stress radiography. Sanglim Lee; Jae-kwang Yum; Ji Yeong Kim // Archives of Orthopaedic & Trauma Surgery;Feb2010, Vol. 130 Issue 2, p237 

    Stress test is a commonly used diagnostic examination to evaluate the radial collateral ligament (RCL) tear of the thumb metacarpophalangeal (MCP) joint to indicate the surgical intervention. We experienced a locked MCP joint after stress test in a patient with the RCL and volar plate injury.

  • Evaluation and Treatment of Injuries of the Ulnar Collateral Ligament of the Thumb Metacarpophalangeal Joint. Baskies, Michael A.; Lee, Steve K. // Bulletin of the NYU Hospital for Joint Diseases;2009, Vol. 67 Issue 1, p68 

    Injuries of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb are very common. A review of the literature regarding the pertinent anatomy, injury mechanism, diagnostic modalities, and treatment options may yield a better understanding for future management.

  • A novel closed reduction with extension block and flexion block using Kirschner wires and microscrew fixation for mallet fractures. Shimura, Haruhiko; Wakabayashi, Yoshiaki; Nimura, Akimoto // Journal of Orthopaedic Science;Mar2014, Vol. 19 Issue 2, p308 

    Background: Some patients with mallet fractures who undergo extension block pinning complain of exposed wires, which delay their return to sports and causes inconvenience while performing tasks that require the use of hands during the early postoperative period. The purpose of this retrospective...

  • Operationsindikation bei Verletzungen der palmaren Platte des Mittelgelenks. K.-D. Rudolf // Der Orthopäde;Dec2008, Vol. 37 Issue 12, p1187 

    Zusammenfassung  Die Verletzungen des Mittelgelenks werden oftmals als Bagatellverletzungen abgetan, obwohl sie zu Instabilitäten und noch häufiger zu Kontrakturen des Mittelgelenke führen können. Distorsions- und Hyperextensionstraumen sind die...

  • Die dorsale Endphalanxbasisfraktur oder der sog. „knöcherne Strecksehnenausriss“. M. Lautenbach; A. Zach; A. Eisenschenk // Der Orthopäde;Dec2008, Vol. 37 Issue 12, p1159 

    Zusammenfassung  Frakturen der Fingerendphalangen sind häufig. Basierend auf den Ergebnissen der Untersuchungen von Hoch et al. ist die Bezeichnung „knöcherner Strecksehnenausriss“ unzutreffend und es sollte stattdessen der Begriff...

  • The First Metacarpal is the Thumb First Phalange. EvoDevo Implications. Carlos, Y. Valenzuela; Berríos-Loyola, R.; Canals, M. // International Journal of Morphology;2009, Vol. 27 Issue 4, p985 

    We examined the status of the first metacarpal bone whose shape, fetal and post-natal development correspond to those of the thumb proximal phalanx. Galen already described this, circa 170 CE. Our radiographic data confirm that the pre-axial (radial or anterior) side of the hand matures, later...

  • Anatomical and Histological Study of the Foot of Iraqi Endogenous Buffaloes (Bubalus bubalis). Sawad, Alaa A.; Waad, Shymaa K. // Journal of Agricultural Science & Technology A;2012, Vol. 2 Issue 8A, p1011 

    The anatomical and histological study were conducted on 72 specimens of buffaloes foot, regardless of the age and species, The foot structures were described which included first phalanx, second phalanx, third phalanx, digital cushion, joint, ligaments and tendons, as well as the foot's sole,...

  • Enchondromas in children: imaging appearance with pathological correlation. Bierry, Guillaume; Kerr, Darcy; Nielsen, G.; Rosenberg, Andrew; Huang, Ambrose; Torriani, Martin; Bredella, Miriam // Skeletal Radiology;Oct2012, Vol. 41 Issue 10, p1223 

    Objective: Enchondromas are benign lesions that may present with nonspecific features on imaging in children. Correlation of histology with imaging findings is often required to make the final diagnosis of a benign lesion. The aim of this study was to review imaging and pathological findings of...

  • metacarpophalangeal.  // Taber's Cyclopedic Medical Dictionary;2005, p1349 

    A definition of the term "metacarpophalangeal" is presented. It refers to the metacarpus and the phalanges. The definition is from the "Taber's Cyclopedic Medical Dictionary," published by F.A. Davis Co.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics