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. 2016 Jun;11(2):206-10.
doi: 10.1177/1558944715626931. Epub 2016 Feb 2.

Predicting Fracture Risk for Enchondroma of the Hand

Scott Riester  1 , Rishi Ramaesch  2 , Doris Wenger  1 , Andre van Wijnen  1 , Sanjeev Kakar  1
Affiliations

Predicting Fracture Risk for Enchondroma of the Hand

Scott Riester et al. Hand (N Y). 2016 Jun.

Abstract

Background: Enchondromas are benign cartilage tumors that can cause pathologic fractures involving the digits of the hand. The purpose of this study is to identify objective reproducible clinical criteria that are associated with fracture that can be used to guide clinical decision making.

Methods: A total of 54 enchondroma cases involving the hand were retrospectively reviewed. Criteria examined included age, gender, the hand involved (left vs right), bone involved, the digit involved, and longitudinal percentage of the bone occupied by the lesion on anteroposterior (AP) radiographs.

Results: There was a statistically significant difference between the fracture and nonfracture group in regard to age, the digit involved, bone involved, and the percentage of bone occupied by the lesion on AP radiographs.

Conclusion: This investigation provides evidence that patient age, the affected finger, the affected bone, and the percentage of the bone occupied by the pathologic lesion on AP radiographs can be used to predict pathologic fracture risk for enchondromas.

Keywords: enchondroma; hand; pathologic fracture; tumor.

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Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(a) Enchondroma present in the proximal portion of the proximal phalanx. (b) A line along the mid-axial line is measured between the most distal and most proximal aspects of the lesion. (c) The entire length of the proximal phalanx is measured using a mid-axial line drawn between the most distal and proximal aspects of the proximal phalanx.
See this image and copyright information in PMC

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