Leung Cheuk Ho, Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.
Arthrosc Tech. 2023 Jul 10;12(8):e1335-e1340. doi: 10.1016/j.eats.2023.04.001. eCollection 2023 Aug.
An enchondroma is a benign tumor in the medullary cavity of bone, which is composed of mature hyaline cartilage. It has a predilection for the ulnar-sided tubular bones of the hand and occurs most commonly in the proximal phalanx, and less commonly in the middle phalanx and metacarpals, and rarely in the distal phalanx. The treatment options for enchondromas include conservative regular follow-up or surgery. Operation is indicated in symptomatic enchondroma or lesions larger than 3 to 4 cm. The purpose of this Technical Note is to report the technical details of endoscopic curettage and bone grafting of enchondroma of proximal phalanx of finger. This minimally invasive approach can preserve the cortical integrity and periosteum of the involved phalanx.
内生软骨瘤是一种发生于骨髓腔内的良性肿瘤，由成熟的透明软骨构成。它好发于手部尺侧的管状骨，最常见于近节指骨，其次为中节指骨和掌骨，很少见于远节指骨。内生软骨瘤的治疗选择包括保守的定期随访或手术。有症状的内生软骨瘤或大于3至4厘米的病变需手术治疗。本技术说明的目的是报告手指近节指骨内生软骨瘤的内镜刮除及植骨的技术细节。这种微创方法可保留受累指骨的皮质完整性和骨膜。
