Enchondroma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Medial hand pain due to recent trauma.

Patient Data

Age: 25 years
Gender: Male
x-ray
Frontal
Oblique
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Info

A lytic expansile lesion is noted in the distal of the 5th metacarpal bone that contains a thin lucent line suspected of fracture.

Case Discussion

Findings are consistent with enchondroma, a common intramedullary hyaline cartilage neoplasm with benign imaging features. As a rule, enchondromas should be asymptomatic; however, lesions of the hands or feet may present with pain from the pathological or impending fracture.

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