Paul Nirvin, Kaganur Raghavendra, Gopurathingal Anto, George Joseph, Jirel Abhishek
Department of Trauma Surgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, India.
Clinical Fellow, Healthcare Global, Bengaluru, Karnataka, India.
J Orthop Case Rep. 2022 Oct;12(10):66-69. doi: 10.13107/jocr.2022.v12.i10.3370.
Enchondromas are predominantly seen in short tubular bones and are usually symptomless and the onset of pain may indicate a pathological fracture in most cases or malignant transformation in rare instances. Here, we report a case of proximal phalanx enchondroma with pathological fracture treated with synthetic bone substitute placement.
A 19-year-old girl presented to the outpatient department with complaints of swelling over the right little finger. She was evaluated for the same and a roentgenogram revealed a well-defined lytic lesion in the right little finger proximal phalanx. She was planned for conservative management, but she presented 2 weeks later with an increase in pain following trivial trauma.
Synthetic bone substitutes are excellent materials for filling the void in benign conditions as they form resorbable scaffolds which have good osteoconductive properties and are associated with no donor site morbidity.
内生软骨瘤主要见于短管状骨，通常无症状，疼痛的出现在大多数情况下可能提示病理性骨折，在罕见情况下提示恶性转化。在此，我们报告一例近端指骨内生软骨瘤合并病理性骨折，采用人工骨替代物植入治疗的病例。
一名19岁女孩因右小指肿胀到门诊就诊。对其进行了相关评估，X线片显示右小指近端指骨有一个边界清晰的溶骨性病变。最初计划进行保守治疗，但2周后她因轻微外伤后疼痛加重前来就诊。
人工骨替代物是填充良性病变中骨缺损的优良材料，因为它们形成可吸收支架，具有良好的骨传导性能，且无供区并发症。
