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. 2020;31(1):81-7.
doi: 10.5606/ehc.2020.72162.

Benign bone tumors of hand and wrist: evaluation of diagnosis and treatment

Özgür Erdoğan  1 , Volkan Gürkan
Affiliations

Benign bone tumors of hand and wrist: evaluation of diagnosis and treatment

Özgür Erdoğan et al. Jt Dis Relat Surg. 2020.

Abstract

Objectives: This study aims to investigate the choice of graft or cement, the relationship between the graft types and union rates, functional results, and complications in hand and wrist benign bone lesions while also evaluating the diagnosis and treatment modalities of lesions with high recurrence potential like giant cell- containing lesions.

Patients and methods: Between September 2005 and May 2016, 48 benign osseous hand and wrist tumors of 48 patients (22 males, 26 females; mean age 33±13.1 years; range, 11 to 70 years) were reviewed retrospectively. Patients were evaluated according to demographic data, complaints at admission, radiological findings, surgical methods, graft type, pathological diagnosis, and complications.

Results: Although not statistically significant, there were differences between cement, allograft, and autograft according to union time and loss of range of motion. There was no statistical difference between cement, allograft, and autograft according to complications.

Conclusion: Autograft obtained percutaneously with a trephine needle may provide earlier union with minimal donor site morbidity. Wide resection and reconstruction options should be kept in mind in giant cell-containing tumors. Further investigations are needed about the relationship between soft tissue edema in magnetic resonance imaging and the recurrence risk in hand and wrist benign bone tumors.

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. Pathologically verified distributions of lesions. ABC: Aneurysmal bone cyst; OO: Osteoid osteoma; UBC: Unicamaral bone cyst.
Figure 2
Figure 2. Primary complaints of patients. PIP: Proximal interphalangeal joint.
Figure 3
Figure 3. Distributions according to affected bones.
Figure 4
Figure 4. Materials used to fill defect.
Figure 5
Figure 5. An autograft taken percutaneously by a trephine needle fits a defect accurately.
Figure 6
Figure 6. (a) X-rays show a capitate osteochondroma of a 25-year-old female patient, (b) axial computed tomography section of same patient, (c) axial magnetic resonance imaging section, (d) perioperative view.
Figure 7
Figure 7. (a) X-ray shows a periosteal chondroma settled on fifth proximal phalangeal of an 11-year-old boy patient, (b, c) axial computed tomography section of same patient, (d) coronal computed tomography section, (e, f) axial magnetic resonance imaging sections.
Figure 8
Figure 8. (a) X-ray shows a Nora’s lesion settled on second midphalangeal of a 52-year-old male patient, (b) axial computed tomography section of same patient, (c, d) axial and coronal magnetic resonance imaging sections, (e) clinical appearance of lesion, (f, g) perioperative view, (h) postoperative X-rays.
See this image and copyright information in PMC

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MeSH terms