J Korean Orthop Assoc.  2020 Apr;55(2):162-168. 10.4055/jkoa.2020.55.2.162.

Treatment of Enchondroma in the Hands and Feet

Affiliations
  • 1Departments of Orthopedic Surgery, Pusan National University School of Medicine, Busan, Korea
  • 2Departments of Radiology, Pusan National University School of Medicine, Busan, Korea
  • 3Departments of Pathology, Pusan National University School of Medicine, Busan, Korea

Abstract

Purpose
The purpose
of this study was to suggest an appropriate treatment method by comparing nonsurgical treatment and surgical treatment for enchondroma in the hands and feet.
Materials and Methods
Seventy four cases with enchondroma of the hands and feet from January 1996 to March 2017 were selected to evaluate the functional outcomes. Thirty cases were treated with nonsurgical treatment, and 44 cases were treated with surgical treatment, such as curettage only or curettage with a bone graft. The mean follow-up period was 18.1 months. The functional results were analyzed using the Wilhelm and Feldmeier formula.
Results
The mean age was 38 years, and the age range was between eight and 69 years. According to the Wilhelm and Feldmeier formula, the mean score of hand enchondroma was 3.09±0.85 and 3.20±0.91 in the non-operative and operative group, respectively. The mean scores of the foot except for the grip strength were 2.57±0.79 and 2.75±0.50, respectively. No significant difference was observed according to the functional results. Among the 18 cases of enchondroma with pathological fractures, nine cases were treated non-surgically and nine cases were treated by surgically. In all 18 cases, complete bone healing was observed at the final follow-up.
Conclusion
Relatively satisfactory results were obtained in both surgical and nonsurgical treatment and there was no significant difference in functional outcomes. In cases of enchondroma in the hands and feet, nonsurgical treatment can also be a good treatment option.

Keyword

enchondroma; treatment
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