[Solitary intra-articular osteochondroma of the fingers in children].

In the hand, osteochondromas are rarely found. When encountered, these lesions occur at the metaphyseal region adjacent to the growth plate usually in patients with multiple hereditary exostosis. Our experience with solitary epiphyseal osteochondromas in the phalanges of seven children is reviewed. All patients presented a progressive angular deformity leading to limited function of the hand. Five patients had limited range of motion. Good restoration of motion and function was achieved by excision of the lesion and collateral ligament reconstruction. Early resection is recommended to correct and prevent further deformation in the growing skeleton of children.