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Review
. 2015 Dec;10(4):616-20.
doi: 10.1007/s11552-015-9775-6. Epub 2015 Jun 3.

Multiple osteochondroma of the hand: initial and long-term follow-up study

Julie Colantoni Woodside  1 , Timothy Ganey  2 , R Glenn Gaston  3
Affiliations
Review

Multiple osteochondroma of the hand: initial and long-term follow-up study

Julie Colantoni Woodside et al. Hand (N Y). 2015 Dec.

Abstract

Background: The purpose is to determine the location and type of osteochondromas in patients with multiple osteochondroma of the hand as well as the presence of shortening and angulation. Second, it aims to establish longitudinal data on the change in tumors.

Methods: Retrospective review of patients with multiple osteochondroma affecting the hand evaluating the location and type of tumors as well as the presence of shortening and angulation is done. We examined radiographs from final follow-up and analyzed them based on patient age at presentation (group I = ages 2-6; II = ages 7-10; III = ages 11-19), to determine changes over time and any differences in the number of tumors, location, and shortening and angulation.

Results: The most affected bones were the index and small finger metacarpals with an increase seen around the metacarpophalangeal (MCP) joints. The most shortening and angulation were seen on the ulnar side. Group II had the most tumors and the most bones with angulation. Twenty-three hands had longitudinal follow-up with an overall increase of 2.7 tumors per hand with a range of loss of 8 to gain of 16. There was an increase in the number of bones with angulation and shortening. Group I showed the largest increase in tumors, shortening, and angulation.

Conclusions: The ulnar side and bones around the MCP joints are affected most commonly. The largest change was seen as the patients went from young childhood into adolescence, which may be due to rapid growth during this time. This is the largest study of these patients with the longest longitudinal data.

Keywords: Hand; Multiple hereditary exostoses (MHE); Osteochondroma.

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Figures

Fig. 1
Fig. 1
A patient with multiple osteochondroma showing brachymetacarpia most pronounced in the ring metacarpal and angulation of the ring and small finger metacarpals
Fig. 2
Fig. 2
An example of angulation measurement
Fig. 3
Fig. 3
The average number of tumors per bone
Fig. 4
Fig. 4
Radiograph showing brachymetacarpia with angulation of the small finger metacarpal
Fig. 5
Fig. 5
a, b A patient from age 3 to age 8 with increased number of tumors and angulation
Fig. 6
Fig. 6
a, b A patient with decreased number of tumors as well as resolution of deformity especially seen in the left ulna and small and ring fingers
See this image and copyright information in PMC

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