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The Journal of Bone and Joint Surgery 79:898-900 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Enchondroma of the Distal Phalanx of the Hand*

KATSUJI SHIMIZU, M.D.{dagger}, YOSHIHIKO KOTOURA, M.D.{ddagger}, NAOKI NISHIJIMA, M.D.§ and TAKASHI NAKAMURA, M.D.¶, KYOTO, JAPAN

Investigation performed at the Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Kyoto

We saw five patients who had enchondroma of the distal phalanx, a relatively uncommon site for that lesion. Three patients had pain secondary to a pathological fracture and were managed with curettage and bone-grafting through a palmar longitudinal incision. The other two patients had severe deformities of the fingertip and nail. One was managed with disarticulation of the distal interphalangeal joint and the other, with curettage and grafting through a dorsal approach followed by reconstruction of the nail matrix. We believe that the palmar incision in the pulp of the finger has few, if any, complications.


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