Surgical Treatment of Enchondromas of the Hand: Our Experience in Curettage Only and Early Mobilization.
Silvia Pietramala, Giuseppe Rovere, Camilla Ravaioli, Ciro Mignano, Amarildo Smakaj, Andrea Fidanza, Pasquale Farsetti, Lorenzo Rocchi, Camillo Fulchignoni
Author Information
Silvia Pietramala: Department of Orthopaedics and Traumatology, Fondazione Policlinico A. Gemelli IRCCS-Universit�� Cattolica del Sacro Cuore, 00168 Rome, Italy.
Giuseppe Rovere: Department of Orthopaedics and Traumatology, Catholic University of Sacred Heart, Roma (IT) Largo Francesco Vito 1, 00168 Rome, Italy.
Camilla Ravaioli: Department of Orthopaedics and Traumatology, Fondazione Policlinico A. Gemelli IRCCS-Universit�� Cattolica del Sacro Cuore, 00168 Rome, Italy.
Ciro Mignano: Department of Orthopaedics and Traumatology, Fondazione Policlinico A. Gemelli IRCCS-Universit�� Cattolica del Sacro Cuore, 00168 Rome, Italy.
Amarildo Smakaj: Department of Orthopaedics and Traumatology, Catholic University of Sacred Heart, Roma (IT) Largo Francesco Vito 1, 00168 Rome, Italy. ORCID
Andrea Fidanza: Unit of Orthopaedics, Department of Life, Health and Environmental Sciences, University of L'Aquila (IT), 67100 L'Aquila, Italy. ORCID
Pasquale Farsetti: Department of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome "Tor Vergata", 00133 Rome, Italy. ORCID
Lorenzo Rocchi: Department of Orthopaedics and Traumatology, Catholic University of Sacred Heart, Roma (IT) Largo Francesco Vito 1, 00168 Rome, Italy. ORCID
Camillo Fulchignoni: Department of Orthopaedics and Traumatology, Catholic University of Sacred Heart, Roma (IT) Largo Francesco Vito 1, 00168 Rome, Italy.
(1) Background: Enchondroma is one of the most common primary tumors of the hand. Usually asymptomatic, it can present with pain, deformity, and sometimes pathologic fractures. Surgical treatment is advised in these cases. Curettage is the basic treatment, but there is no consensus in the literature regarding post-void filling. The aim of our study is to present simple curettage and early mobilization as a safe and effective treatment. (2) Methods: We retrospectively analyzed patients treated at our center between 2020 and 2024. Each patient was treated with simple curettage and early mobilization. We collected demographic data and follow-up data. (3) Conclusions: We recorded no complications in our cohort, pointing out that our method is safe and reliable without any kind of immobilization. Bone grafts and other methods such as cement are good options but should be considered in specific cases.
