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Juxtacortical Chondroma of the Hand: Treatment by Resection of the Tumour and the Adjacent Bone Cortex

From the Department of Orthopaedic Surgery, School of Medicine, Iwate Medical University, Morioka and Department of Orthopaedic Surgery, School of Medicine, Akita University, Akita, Japan

Correspondence: Dr J. Nishida, Department of Orthopaedic Surgery, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka, 020-8505, Japan. Tel.: +81 19 651 5111x6405; Fax: +81 19 626 3699. E-mail: jnishida{at}f2.dion.ne.jp

A recurrence of a juxtacortical chondroma of the finger after marginal excision prompted us to review the treatment of this condition. Although the recommended treatment is simple curettage or marginal excision, the reported recurrence rate is significantly higher for lesions in the hand than those in other locations and recurrences only occurred in patients who had local treatments which did not include excision of the adjacent bone cortex.

We report five patients with juxtacortical chondroma of the fingers. The first patient underwent marginal excision without resection of the underlying bone cortex. The other four patients underwent intralesional, marginal or wide excisions of tumour with resection of the bone cortex underlying the lesion. Recurrence was only seen in the patient who did not undergo resection of the bone cortex. Resection of the underlying bone cortex after excision of this tumour may be advisable for the treatment of this tumour in the hand to reduce the rate of recurrence.

Key Words: juxtacortical chondroma • finger • excision of underlying cortex

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 4, 401-405 (2005)
DOI: 10.1016/J.JHSB.2005.03.013


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