Case report-Olgu sunumu Shoulder pain due to enchondroma of the humerus Humerus enkondromuna bağlı gelişen omuz ağrısı (original) (raw)

Shoulder pain due to enchondroma of the humerus

Cumhuriyet medical journal, 2011

Enchondromas, the second most common osseous neoplasms, are benign mature hyaline cartilaginous neoplasms that are usually solitary lesions in intramedullary bone. Enchondromas of the long bones are usually asymptomatic and often identified radiographically as an incidental finding. Pain is the most commonly encountered symptom. The most common clinical presentations are impingement syndrome and rotator cuff tears, respectively. The characteristic radiographic appearance is solitary lucent lesion in the diaphyseal part of short tubular bone or in the metaphyseal part of the long bones. We present a case of a 23 year old woman with humeral enchondroma in this case report.

Enchondroma Protuberans of Ulnar Bone: A Case Report and Review of Literature

Case Reports in Radiology, 2012

Introduction. Enchondroma protuberans is an extremely rare benign cartilaginous bone tumor. We report the first case report of enchondroma protuberans in the forearm. Presentation of Case. We report a case of enchondroma protuberans originating in the left ulnar bone of a young woman. A 20-year-old female referred to our hospital complaining of progressive sustained left forearm pain with a radiation to fourth and fifth finger. Conventional radiography revealed a well-defined eccentric osteolytic lesion in the distal diaphysis of ulna with expansion of overlying cortex (without calcification). Magnetic resonance imaging showed a welldefined ovoid intramedullary lesion, which was exophytically protruding from medial surface of left ulnar bone. Histopathology confirmed the diagnosis. Discussion. Enchondroma protuberans typically present as a well-defined intramedullary osteolytic lesion that may be accompanied by a fine matricidal calcification. The connection between the intramedullary portion and the exophytic protrusion can be seen well by magnetic resonance imaging. Conclusion. Enchondroma protuberans should be considered in the differential diagnosis of osteochondroma, enchondroma, and periosteal chondroid tumors.

Hypertrophic Nonunion Humerus Mimicking an Enchondroma

Case Reports in Orthopedics, 2014

Introduction. Although fractures of humeral shaft show excellent results with conservative management, nonunion does occur. Case Report. We bring forth the case of a young male with a 1.5-year-old hypertrophic nonunion of the humerus mimicking an enchondroma. The initial X-ray images of the patient appeared to be an enchondroma, which only on further evaluation and histopathological analysis was diagnosed conclusively to be a hypertrophic nonunion. Discussion. Enchondromas are often incidentally diagnosed benign tumours. It is however not common to misdiagnose a hypertrophic nonunion to be an enchondroma. We present this case to highlight the unique diagnostic dilemma the treating team had to face.

Midterm MRI Follow-Up of Untreated Enchondroma and Atypical Cartilaginous Tumors in the Long Bones

Cancers

Management of atypical cartilaginous tumors (ACTs) in the long bones is shifting towards active surveillance to avoid unnecessary surgeries. The frequency and duration of active surveillance for these tumors is unclear as there is little knowledge of its biological behavior. In this retrospective study, we examined the natural course of enchondroma and ACTs through active surveillance. A total of 128 central cartilaginous tumors, located in the long bones, with a minimum interval of 24 months between baseline and last MRI were included. MRI characteristics (e.g., size, scalloping, fat entrapment) were scored and tumors were classified according to the changes between MRIs. Mean follow-up of this study was 50 months, range = 25–138 months. The majority of the cartilaginous tumors (87%) remained stable (n = 65) or showed regression (n = 46) on MRI. A total of 87% of the cases that developed tumor regression presented with entrapped fat at diagnosis. Only 13% (n = 17) showed some progr...

Intramedullary enchondroma of distal femur treated with curettage in 31 year old female: A case report

National journal of clinical orthopaedics, 2021

Introduction: Enchondroma is a benign tumor, commonly seen in long short bones. An enchondroma is a type of non-cancerous bone tumor that begins in cartilage. Cartilage is the gristly connective tissue from which most bones develop. Cartilage plays an important role in the growth process. There are many different types of cartilage in the body. Enchondroma is a benign tumor, commonly seen in long short bones. Aim: Generalafter skeletal maturity, enchondroma do not grow and rarely cause pain. Endosteal scalloping may occur with enchondroma. Reporting this unusual location, Intra-Medullary and long bone, in Femur distal third marrow, in our case.

Enchondroma of the hand-Treated by curettage and bone grafting

Background: Enchondroma of the hand is a rare benign tumor composed of mature cartilage. The treatment for this tumor type is usually surgery. Surgery includes curettage, curettage with bone grafting or bone cement. Materials and methods: This prospective study involves 11 patients with enchondroma of hand operated by curettge and autologous bone grafting between May 2015 to May 2017. Results: 10 patients had no restriction of movement, while 1 patient had a flexion deformity of 10degree. No patient had any local tumour recurrence or residual swelling. Conclusion: We conclude that curettage followed by autologous bone grafting is a very good method of treating enchondroma of hand.

Enchondroma with Osteopoikilosis Coexisting Together -A Rare Clinical and Radiological Case Report

Journal of orthopaedic case reports

Osteopoikilosis and enchondroma existing together have not been reported in literature, and this is the first report of the management of the same. A 26-year-old male presented with dull aching pain with swelling around the knuckle of the left index finger of 1 month duration. On examination, there was a swelling of approximately 1x1 cm on the dorsal aspect. Typical radiographic changes of osteopoikilosis and enchondroma were present. Enchondroma coexistence with osteopoikilosis is rare. Diagnosis is suspected on plain radiographs and confirmed by the histopathologic study. Enucleation of the tumor with bone graft provides good results.

Risk factors for local recurrence from atypical cartilaginous tumour and enchondroma of the long bones

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2017

The purpose of our study is to verify possible clinical and radiological findings with regard to distinguishing enchondroma from atypical cartilaginous tumour (ACT). In addition, this study determined risk factors that are associated with local recurrence of enchondroma or ACT treated with curettage. We retrospectively reviewed the records of 54 patients with enchondroma and 35 patients with ACT of the long bones treated by curettage between 1986 and 2015. The minimum follow-up was 18 months. The relationship between clinical and radiological factors and the tumour type or local recurrence was assessed using Chi-square test or Fischer exact test. Endosteal scalloping (p = 0.004) and soft tissue extension (p = 0.017) were shown to statistically favour ACT over enchondroma; by contrast, pain (p = 0.034) was more frequent in enchondroma compared to ACT. All patients with enchondroma had no local recurrence; in contrast, local recurrence occurred in four patients with ACT (11%). Soft ti...

Rib enchondroma: A case report

Journal of Research and Practice on the Musculoskeletal System, 2021

Enchondroma is a slow growing benign cartilaginous tumour arising from the medullary cavity. These tumours are more of an incidental finding, while screening for surrounding pathologies. Enchondroma of the rib is a rare finding. A 29 year-old Asian male, presented to the outpatient department with complaints of; Right sided chest tenderness since a year. There was no history of fall or trauma. Chest X-ray revealed a well-circumscribed lytic lesion of around 4x2x2 cm, located on the right 5 th rib. After surgery, patient's histopathology report revealed an enchondroma of the rib (5x2x1.5 cm with a lytic area of 2x1 cm). Despite enchondromas being benign, the ones in the ribs should be closely examined for signs of enchondrosarcoma. Complete surgical excision is the treatment of choice.