By Daniel V Egloff, Daniel V. Egloff

This textbook is the most recent within the renowned coursebooks released in organization with the Federation of Societies for surgical procedure of the Hand to accompany the direction held at their annual assembly. The direction for 2004 covers tumors happening within the hand: orthopaedic surgeons may have to liaise with oncology colleagues in making plans surgery for his or her sufferers, and this article covers the anatomical, surgical, and oncological concerns of which they are going to must be acutely aware

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T h e y c a n o c c u r a n y w h e r e in t h e b o d y but most in the fingertips, usually n a i l s . M o s t l e s i o n s o c c u r in 3 0 - 5 0 - y e a r - o l d p a t i e n t s . C l i n i c a l d i a g n o s i s is often difficult a n d m a y b e d e l a y e d f o r u p t o 5 y e a r s ( B o u d g h e n e et al 1998). 5-5 p e r c e n t of all h a n d t u m o r s ( D r a p e et al 1996). L e s i o n s m a y b e p a i n f u l , often e x a c e r - Glomus tumor Glomus a s afferent bodies b a t e d b y c h a n g e s in t e m p e r a t u r e .

HAND CHONDROMAS 41 Figure 3 Figure 4 Typical radiographic aspect of a central chondroma. Polycyclic aspect of a phalangeal chondroma in a teenager. In s o m e c a s e s t h e c h o n d r o m a is not c e n t r a l l y l o c a t e d . T a k i g a w a (1971) h a s c l a s s i f i e d t h e different s i t e s into c e n t r a l (58 p e r c e n t ) , e c c e n t r i c (19 p e r c e n t ) , c o m b i n e d ( s e v e r a l l e s i o n s in t h e s a m e b o n e , 21 p e r c e n t ) , p o l y c e n t r i c (11 p e r c e n t ) , a n d g i a n t (3 p e r c e n t ) , to w h i c h t h e particular periosteal chondroma (Lichtenstein periosteal and Hall chondroma must 1952).

In: Berquist TH, ed. MRI of the Hand and Wrist. Lippincott Williams & Wilkins: Philadelphia. Blam 0, Bindra R, MiddletonW, Gelberman R (1998)The occult dorsal carpal ganglion: usefulness of magnetic resonance imaging and ultrasound in diagnosis, Am J Orthop 27:107-10. Bogumill G P (1988) Tumors of the wrist. In: Lichtmann D M e d . The Wrist and its Disorders. S a u n d e r s : Philadelphia: 373-84. after i n t r a v e n o u s g a d o l i n i u m i n j e c t i o n ( F i g . 11). Necrotic areas which do noted.

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