By Daniel V Egloff, Daniel V. Egloff
This textbook is the newest within the well known 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 taking place within the hand: orthopaedic surgeons might have to liaise with oncology colleagues in making plans surgical operation for his or her sufferers, and this article covers the anatomical, surgical, and oncological concerns of which they're going to must be conscious
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Extra resources for Tumors of the hand
Clinically, t h e y d o n o t differ f r o m l i p o m a , e n c o u n t e r e d in o t h e r l o c a t i o n s . M R I s h o w s a high signal o n b o t h T 1 - a n d T 2 - w e i g h t e d imaging a n d c a n accurately depict the extension of t h e l e s i o n . A l t h o u g h , t h e y m a y b e w e l l - d e f i n e d septation or lobulated appearance, there is a n o n - f a t s i g n a l in s i m p l e b e n i g n l i p o m a ( D o o m s et a l 1985). T h e r e a r e a n u m b e r o f different l i p o m a s , interm u s c u l a r o r i n t r a m u s c u l a r l i p o m a , l i p o m a of t h e tendon sheaths, a n d neural fibrolipoma ( A m a d i o et al 1988).
In this case, a histologic diagnosis of chondroma was made after the initial curettage, and the correct diagnosis was made after recurrence. unless a n iliac bone graft is d e c i d e d upon. In c h o n d r o m a s o f t h e f i n g e r s , t h e a p p r o a c h is usually In lateral, metacarpal near the apex locations, of t h e t u m o r . the approach is postero-medial o r lateral, o n either side of t h e e x t e n s o r a p p a r a t u s . W h e n t h e c o r t e x is t h i n n e d , it c a n u s u a l l y b e e n t e r e d w i t h a knife, a n d a s m a l l window is p e r f o r m e d .
R a r e c a s e s have been reported to g i v e rise to metastatic d i s e a s e ( C a s t e n s a n d H o w e l l 1979, N e i l s o n a n d K l a n 1989, D e S a i n t A u b a i n S o m e r h a u s e n a n d Fletcher 2000). This is in t h e h a n d s , but it c a n o c c u r in o t h e r j o i n t s , par- d u e p r i m a r i l y to t h e a b s e n c e of p a i n , but a l s o t h e ticularly knees, ankles, a n d e l b o w s (Rodrigues v e r y s l o w g r o w t h of t h e t u m o r p l a y s a part.