Enchondroma of the Hand

Kang, Eung Shick; Lee, Woo Hyeong

Abstract

Chondroma is a benign tumor composed of mature hyaline cartilage. Most chondroms are centrally located in bone, and such tumors are called "enchondromas", and comprise 90% of the tumors arising in the skeleton of the hand. Twenty nine patients were admitted to the Department of Orthopedic Surgery, Yonsei University College of Medicine with enchondroma of the hand during a period of 10 years from January 1979 to December 1988. The analysis of results of these patients are as follows. l. Among 29 patients 10 were male, 19 patients were female. 2. The mean age was 26.3 years, range 3 to 61 years. 3. Enchondromal occured most frequently in patient between 10 and 30 years of age. 4. The proximal phalanx was the most commonly involved site by the middle phalanx and metacarpal 5. The ulna three fingers were more often afflicted than the radial two. 6. Among 29 patients, 7 were treated by excision, 18 by curettage and autobone graft, 4 pathologic fractures by curettage, autobone graft after open reduction and internal fixation with Kirschner wire. 7. There were no recurrence, except 1 suspicious recurrence for 8 month later.