Original Communications
Spontaneous resolution of a phalangeal solitary osteochondroma*,**

https://doi.org/10.1053/jhsu.2001.22410Get rights and content

Abstract

We report a solitary osteochondroma in the proximal phalanx of the ring finger in a 3-year-old boy that resolved spontaneously. (J Hand Surg 2001;26A:556-558. Copyright © 2001 by the American Society for Surgery of the Hand.)

Section snippets

Case report

A small lump in the right ring finger of a 3-year-old boy was radiographically diagnosed as an osteochondroma. The patient was monitored, but no treatment was given. When the patient was referred to us 1 year later physical examination revealed a hard, smooth, nontender, nonmobile mass over the dorsal aspect of the proximal metacarpophalangeal joint in the ring finger. Range of motion of the joint was slightly restricted in extension. Radiographs of the finger demonstrated a typical

Discussion

A computer database literature search revealed 11 cases of spontaneous regression of solitary osteochondromas, excluding cases of multiple hereditary osteochondromatosis. Ten of these cases were reviewed by Claikens et al1 in 1998. Revilla et al7 described an additional similar case in 1999. All these patients were younger than 12 years. There were 9 boys and 2 girls. Five cases of spontaneous resolution of osteochondromas occurred in the proximal humerus, 4 in the proximal femur, 1 in the

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    Our case did not affect the flexor tenosynovium but originated from the bone. Yomamoto et al10 reported a case of solitary phalangeal osteochondroma presenting as a small mass of the ring finger that was diagnosed on X-ray. The lesion was eccentrically located in the metaphysis of the proximal phalanx.

  • Solitary intra-articular osteochondroma of the finger

    2010, Journal of Bone and Joint Surgery
    Citation Excerpt :

    Little is known about the clinical characteristics and the natural history of the solitary phalangeal osteochondroma, especially the sporadic form, because it is rare and often remains asymptomatic or even undetected1,6,17. Solitary phalangeal osteochondroma may occur at the epiphysis or metaphysis13,14,16,17,19. In the present series, only solitary distal epiphyseal intra-articular osteochondromas were included.

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*

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

**

Reprint requests: Tetsuji Yamamoto, MD, Department of Orthopaedic Surgery, Kobe University School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.

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