Kramer Hunter D, Valentine Michael J, Pettinelli Nicholas, Kim James, Kramer Robert C
College of Medicine, Kansas City University, Kansas City, USA.
Hand Surgery, Beaumont Bone & Joint Institute, Beaumont, USA.
Cureus. 2023 Aug 20;15(8):e43815. doi: 10.7759/cureus.43815. eCollection 2023 Aug.
Ollier disease is a rare skeletal dysplasia characterized by the formation of multiple enchondromas (enchondromatosis), typically in the long bones of the extremities. These tumors are benign but can become complicated by the development of pathologic fractures, limb deformity, and malignant transformation to chondrosarcoma. Ollier disease has a highly variable presentation and is associated with a range of presenting findings; however, the most common presentation is a pathologic fracture. Surgical options include curettage and grafting of the enchondromas and, when displaced, fracture reduction and fixation. Of note, these fractures will heal without surgery. Regardless, all patients must be routinely monitored with yearly radiographs in order to detect malignant transformation as early as possible. In this report, we describe the case of an 11-year-old female who presented to her physician with pain and swelling of her right ring and small fingers after playing in a swimming pool with no obvious mechanism of trauma. A routine, plain radiographic evaluation of her hand revealed the presence of multiple enchondromatosis. We hope to use this case to highlight the surgical management options for young patients with Ollier disease and discuss circumstances in which surgical management may not be indicated.
骨软骨瘤病是一种罕见的骨骼发育异常，其特征是形成多个内生软骨瘤（内生软骨瘤病），通常发生在四肢长骨。这些肿瘤是良性的，但可能因病理性骨折、肢体畸形以及恶变成为软骨肉瘤而变得复杂。骨软骨瘤病表现高度可变，与一系列临床表现相关；然而，最常见的表现是病理性骨折。手术选择包括刮除并植骨治疗内生软骨瘤，以及骨折移位时进行骨折复位和固定。值得注意的是，这些骨折无需手术即可愈合。无论如何，所有患者都必须每年进行常规X线检查以尽早发现恶变。在本报告中，我们描述了一名11岁女性的病例，她在游泳池玩耍后右手环指和小指出现疼痛和肿胀，无明显外伤机制。对其手部进行的常规X线平片评估显示存在多个内生软骨瘤病。我们希望通过这个病例突出骨软骨瘤病年轻患者的手术治疗选择，并讨论不适合手术治疗的情况。
