The treatment of syndactyly is highly successful, no matter the preferred technique. That is the classic technique of Flatt (dorsal commissure flap and zig- zag incisions- ) or graftless techninques or hyalomatrix- all can work. Complications include web creep (maybe not a true complication as it is so commonly seen), wound healing issues, rare infections, […]
As a hand surgeon, I am often asked questions about fingernails- whether related to irregularity (bumps, pain, swelling) of the nails or pain. Most of these are minor or temporary issues and there are several excellent reviews on the internet including bundoo, medscape, and others. Most of the issues on this list are infections including paronychia, felon, and […]
Multiple enchondromatosis is also known as Olliers Disease. In this disease, at least 2 cartilage tumors known as enchondromas grow in different bones. Initially, we tend to watch the growths, but sometimes surgery is necessary. I have previously blogged about Olliers as part of a post on MACRODACTYLY. There are number of sites that provide good, […]
Fibrous dysplasia is a bone tumor which is related to a genetic abnormality leading to abnormal bone formation. Normal bone is replaced by a fibrous tissue. It can present at any age- young kids, adolescence, or even adulthood. It is a bone tumor but it is benign growth. Rarely, the tumors can become malignant, but […]
Multiple Hereditary Exostosis is an uncommon condition with the growth of multiple benign tumors or bone/cartilage growths. These can be called osteochondromas or exostoses. It has been estimated to be present in 1 in 50,000 children. Here is a great reference- NLM site. The growths can present in several different ways.1. Bumps which are not […]
There are many reasons for bumps, cysts and masses in the fingers. I have previous blogged HERE on some of these growths. There is another common finger bump that should be discussed, the retinacular cyst. The retinacular cyst is a type of cyst- a fluid filled sac- that grows from the flexor tendon sheath. Here are a […]
Multiple hereditary exostosis is an uncommon tumorous condition and is capable of causing significant functional limitations. I have previously posted on MHE. While multiple hereditary exostosis in the fingers can cause deformity and limitations of finger flexion (I need to post on this topic), we worry more about the forearm. The problem is that if the two bones […]
I see a number of kids with growths on the fingers. These growth vary tremendously in size and expectations but these are technically tumors. The good news is that almost all of these finger masses are benign- meaning that they don’t spread to other parts of the body. They are still concerning to the family. […]
A Nora Lesion is also knows as a bizarre parosteal osteochondromatous proliferation. This tumor is a bony outgrowth on the outside of the bone, typically found in the fingers and off of the phalangeal bones. The sexes are affected equally. There is an occasional history of trauma but this may not be truly relevant. […]
Multiple hereditary exostoses (MHE) is a genetic condition in which a patient has many bone/ cartilage tumors. It is also know as multiple hereditary osteochondromatosis. These are “tumors”- unregulated growths- but these are not malignant tumors (since they don’t go anywhere- they don’t metastasize). This condition differs from a condition I have previously posted: isolated osteochondroma. […]
Large digits are also called macrodactyly. This uncommon condition can be quite dramatic in appearance. I have previously blogged on the topic of macrodactyly- here is the previous Post. I want to share a few pictures from a single case as a way to demonstrate a typical progression. This child presented to us a 8 months […]
Bone growths in children come in many different forms. In the upper extremity, there are relatively few growths on the surface of the bones; one of these is the solitary osteochondroma. The solitary osteochondroma is, as its name implies, a single bony and cartilage growth. It differs from multiple hereditary exostoses, or osteochondromatosis, which is […]
Ollier Disease is a nonhereditary condition in which the patient develops multiple benign cartilage tumors, or enchondromas. While isolated enchondromas are not terribly uncommon, Ollier Disease (or multiple tumors) is quite rare. It has been estimated to occur in less than 1 in 100,000 births. It is believed to be non- herditary and related to a spontaneous mutation. […]