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HAND
Published in: HAND 3/2010

01-09-2010 | Case Reports

An Osteochondroma Limiting Flexion of the Proximal Interphalangeal Joint in Hereditary Multiple Exostosis: a Case Report

Authors: Shinji Yoshioka, Yoshitaka Hamada, Shinjiro Takata, Hiroaki Takai, Natsuo Yasui

Published in: HAND | Issue 3/2010

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Abstract

We describe a patient in which an osteochondroma, which resulted from hereditary multiple exostoses, limited flexion of the proximal interphalangeal (PIP) joint at birth. The tumor grew over the original distal head of the proximal phalanx, and the early appearance of a second ossification center on the base of the middle phalanx was observed. The mass was removed surgically when the patient was 17 months old. There was an improvement in the range of motion at a follow-up evaluation 3 years later. The tumor shape and the growth of the affected PIP joint are examined in detail.
Literature
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Cates HE, Burgess RC. Incidence of brachydactyly and hand exostosis in hereditary multiple exostosis. J Hand Surg Am. 1991;16:127–32.CrossRefPubMed
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Hayashi J, Ikuta Y, Murakami T, et al. An experience with 16 cases of exostosis in hand. J Jpn Soc Surg Hand. 1987;4:697–701.
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Karr MA, Aulicino PL, DuPuy TE, et al. Osteochondromas of the hand in hereditary multiple exostosis: report of a case presenting as a blocked proximal interphalangeal joint. J Hand Surg Am. 1984;9:264–8.PubMed
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Kojima T, Yanagawa H, Tomonari H. Solitary osteochondroma limiting flexion of the proximal interphalangeal joint in an infant: a case report. J Hand Surg Am. 1992;17:1057–9.CrossRefPubMed
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Moore JR, Curtis RM, Wilgis EFS. Osteocartilaginous lesions of the digits in children: an experience with 10 cases. J Hand Surg Am. 1983;8:309–15.PubMed
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Murase T, Morimoto H, Tada K, et al. Pseudomallet finger associated with exostosis of the phalanx: a report of 2 cases. J Hand Surg Am. 2002;27:817–20.CrossRefPubMed
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Stern PJ, Phillips D. Phalangeal osteochondroma: an unusual cause of swan-neck deformity. J Hand Surg Am. 1986;11:70–2.PubMed
Metadata
Title
An Osteochondroma Limiting Flexion of the Proximal Interphalangeal Joint in Hereditary Multiple Exostosis: a Case Report
Authors
Shinji Yoshioka
Yoshitaka Hamada
Shinjiro Takata
Hiroaki Takai
Natsuo Yasui
Publication date
01-09-2010
Publisher
Springer-Verlag
Published in
HAND / Issue 3/2010
Print ISSN: 1558-9447
Electronic ISSN: 1558-9455
DOI
https://doi.org/10.1007/s11552-009-9232-5

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