Surgical Treatment for Osteochondromas in Pediatric Digits

Multiple Osteochondroma of the Hand in a 6 Year Old Child- A Case Report

“…As such solitary osteochondroma of hand is rare and even if it is present in patients with multiple hereditary exostoses it rarely shows deformity [5]. Phalangeal osteochondroma can cause angular deformity, splaying of fingers and restriction of movement if present near the interphalangeal joints [2,6]. Ohnishi T et al [2] reported 5 cases of osteochondroma of the pediatric digits arising from metaphysis of the epiphyseal side in which two patients had involvement of the middle phalanx.…”

“…Phalangeal osteochondroma can cause angular deformity, splaying of fingers and restriction of movement if present near the interphalangeal joints [2,6]. Ohnishi T et al [2] reported 5 cases of osteochondroma of the pediatric digits arising from metaphysis of the epiphyseal side in which two patients had involvement of the middle phalanx. Angular deformity was present in one of these patients and was treated by excision.…”

“…However osteochondromas are very rare in the hand but seen frequently in patients with multiple hereditary exostoses [1]. Osteochondroma of the digit in paediatric patient is associated with angular deformity, splaying of fingers and/or restricted finger movements [2]. Phalangeal osteochondroma needs to be differentiated from bizarre parosteal osteochondromatous proliferation (BPOP) or Nora's lesion, and other reactive lesions of the bone surface as treatment differs [3].…”

A giant multi-lobed osteochondroma of the phalanx in an adult: A case report

“…In children, most solitary tumors arise from the non-epiphyseal metaphysis or the metaphysis on the epiphyseal plate side of the middle or proximal phalanges of the fingers [1]. These tumors restrict motion and cause progressive finger deformity and hence early surgical excision is recommended [1].…”

“…These tumors restrict motion and cause progressive finger deformity and hence early surgical excision is recommended [1].…”