Enchondroma with pathological fracture

Case contributed by Dr Derek Smith

Presentation

Minimal trauma with pain on movement of little finger.

Patient Data

Age: 35 years
Gender: Female

Minimally displaced pathological fracture at the base of the little finger proximal phalanx. No articular involvement.

There is an underlying centrally located lucency with a narrow zone of transition, at the metaphysis and extending into the diaphysis. Thinning of the cortex and some internal chondroid calcification but no periosteal reaction or associated soft tissue abnormality.

Case Discussion

Minimal trauma led to a minimally displaced fracture at the site of an enchondroma. These are likely to heal normally and in this case did not require any operative intervention or imaging follow up.

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Case information

rID: 55194
Case created: 24th Aug 2017
Last edited: 26th Aug 2017
Inclusion in quiz mode: Included

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