Hand Chondrosarcoma, Atypical Presentation: Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Chondrosarcoma is the third most common primary bone tumor of the hand, after myeloma and osteosarcoma, affecting mainly the proximal phalanx of the fifth finger, with a long-term clinical presentation, manifested mainly by local pain and enlargement, affecting mostly people in the fifth and sixth decades of life, with no reports of which hand is most affected. It is diagnosed by combining imaging studies in combination with the histopathological study, with magnetic resonance being the preferred paraclinical study due to its multiple benefits. The main proposed management is amputation, however lately a primarily conservative management has been advocated, with the aim of preserving the function of the affected hand, justified by the low metastatic rate of chondrosarcomas in the hand. We present the clinical case of a 76-year-old female patient who presented after a fall from her own height with a pathological fracture of the proximal phalanx of the fourth finger of the left hand. Upon questioning, the patient denied having presented clinical symptoms prior to her incident; her surgical management was decided by means of wide resection and placement of a bone graft, since the patient did not accept general anesthesia, the placement of a cadaveric cortical graft was chosen.
Authors: Residente de tercer año del Servicio de Cirugía Plástica y Reconstructiva en el Centro Medico Licenciado Adolfo López Mateos., Jorge Elpidio Moreno Carranza, Héctor Manuel Suarez Ortega, Residente de segundo año del Servicio de Cirugía Plástica y Reconstructiva en el Centro Medico Licenciado Adolfo López Mateos., Jesús Fernando Romero Espinosa, Jefe del Servicio de Cirugía Plástica y Reconstructiva en el Centro Medico Licenciado Adolfo López Mateos., Josué Eder Albavera Gutiérrez, Médico Adscrito al servicio de Servicio de Cirugía Plástica y Reconstructiva en el Centro Medico Licenciado Adolfo López Mateos., Melissa Cruz Talamantes, Cirujano egresado de Universidad autónoma de Durango Campus Mazatlán., Héctor Gutiérrez Reyes, Joselyn Ugalde Rivera, Edgar Andrés Perea Celestín, Universidad Anáhuac Querétaro., Alfonso Sandoval Polito, Instituto Tecnológico y de Estudios Superiores de Monterrey, José Emiliano González Flores, Instituto Tecnológico y de Estudios Superiores de Monterrey., Gonzalo Santos González, Luis Héctor Duarte Graver, Luis Fernandez de Córdova Rio de la Loza, Williams Antonio Barrios García, Cirujano Plástico. Instituto Superior de Ciências da Saúde Carlos Chagas, Rio de Janeiro, Brasil., María Guadalupe Nieblas Serrano
Institutions: Autonomous University of Durango, Institute for Social Security and Services for State Workers, Universidad Anáhuac Querétaro, Tecnológico de Monterrey, Mexican Social Security Institute, Hospital Militar Central, Hospital Central Militar, Universidade Federal do Estado do Rio de Janeiro
Language: English
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4408219079