Fifth finger pathological fracture - enchondroma

Case contributed by Dr Henry Knipe

Presentation

Right finger pain, sudden onset while driving car.

Patient Data

Age: 30 years
Gender: Male

Transverse extra-articular fracture with a mild displacement/angulation through the 5th distal phalanx shaft occurring through a central 5 mm long expansile lesion with ground glass matrix. No cortical destruction, calcified periosteal reaction. Associated soft tissue swelling. No further fracture or focal osseous lesion is identified.

Case Discussion

Typical presentation of low-energy trauma resulting in a pathological fracture. The underlying lesion is most likely an enchondroma. 

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Case information

rID: 87788
Published: 19th Mar 2021
Last edited: 19th Mar 2021
Tag: crop
Inclusion in quiz mode: Included

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