Ampadiotaki Margarita-Michaela, Vlachos Christos, Papagrigorakis Eftychios, Galanis Athanasios, Mitsikostas Pantelis, Vasiliadis Elias S, Giannoulis Filippos
Hand, Upper Extremity and Microsurgery Department, KAT Hospital, 14561 Athens, Greece.
3rd Department of Orthopaedic Surgery, KAT Hospital, University of Athens, 14561 Athens, Greece.
Maedica (Bucur). 2024 Mar;19(1):177-181. doi: 10.26574/maedica.2024.19.1.177.
Enchordoma of the distal phalange of the thumb is extremely rare. We report a case of 31-year-old man who presented with a pathological fracture of the left thumb. Imaging evaluation revealed a lytic lesion and surgical curettage with bone graft was performed after fracture healing. Histological examination confirmed the diagnosis of enchordoma. The postoperative period was uncomplicated without signs of recurrence. Lytic lesions in the thumb are uncommon occurrences and necessitate a comprehensive examination to determine their potential causes. Given the significant functional role of the thumb compared to other fingers, it is crucial to undergo radiological assessment and further investigation of these lytic lesions.
拇指远节指骨脊索瘤极为罕见。我们报告一例31岁男性,因左拇指病理性骨折就诊。影像学评估发现溶骨性病变,骨折愈合后行手术刮除并植骨。组织学检查确诊为脊索瘤。术后恢复顺利,无复发迹象。拇指的溶骨性病变并不常见,需要进行全面检查以确定其潜在病因。鉴于拇指相对于其他手指具有重要的功能作用,对这些溶骨性病变进行放射学评估和进一步检查至关重要。