Chondroma of the Distal Phalanx of the Fingers: Clinical and Therapeutic Features: About 3 Cases

Main Article Content

Sbai Mohamed Ali
Triki Rami
Sbei Feten
Boussen Monia


Introduction: Chondromas are benign bone tumors that develop at the expense of the cartilage of skeletal tissue. The localization of chondromas in the hand is very frequent and represents 50 to 90% of cases. The localization in the distal phalanx is very rare. Clinically, it can be misleading and evoke digital hippocratism, which can make us think about several general diseases. Their diagnosis must imperatively be based on the comparison of clinical, radiological and histopathological data. The chondroma can be recurrent and can rarely degenerate into malignant lesions.

Methods: We are sharing 3 cases of chondroma of the distal phalanx of the hand of patients who consulted in Taher El Maamouri hospital of Nabeul during these late 10 years.

Results: The analysis of the 3 cases showed the almost constant presence of pain and deformity of the nail which looks like digital hippocratism.

X-rays showed osteolytic lesions in the 3 cases. 1 case was about the thumb, 2 were about the index.

The diagnosis is evoked depending on clinical data and X-rays. The confirmation was made by the histopathological study. Surgical excision associated with a bone graft allowed us to have good results, without recurrence at the last follow-up. We have not seen any cases of malignant degeneration.

Conclusion: At the end of this study, it was concluded that the request for a systematic X-ray in front of every distal deformation of the fingers is necessary. The clinical and radiological data, the surgical biopsy excision with histopathological confirmation, represents the best attitude for the management of bone chondromas in the hand. Post-operative monitoring can detect a recurrence that depends on the quality of the surgical excision. Malignant degeneration is rare for solitary chondromas.

Chondroma, distal phalanx, fingers, bone tumor

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How to Cite
Ali, S. M., Rami, T., Feten, S., & Monia, B. (2020). Chondroma of the Distal Phalanx of the Fingers: Clinical and Therapeutic Features: About 3 Cases. Asian Journal of Orthopaedic Research, 4(1), 1-7. Retrieved from
Case Report


Marty FL, Marteau E, Rosset P, Faizon G, Laulan J. Étude rétrospective d’une série de 623 tumeurs de la main et du poignet chez l’adulte. Chir Main. 2010;29:183–7.

Fernández-Vázquez JM, et al. Enchondroma of the distal phalanx. Acta Ortopédica Mexicana. 2011;25(6):375-378.

Unni KK, Dahlin DC. Dahlin’s bone tumors: General aspects and data on 11087 cases. 5th Edition. Philadelphia: Lippincott-Raven; 1996.

Kenesi C. Chondromes des doigts: Etude de 25 observations et revue de la littérature. [Thèse]: Paris; 1985.

Bonnevialle P, Mansat M, Durroux R, Devallet P, Rongières M, Editors. Les chondromes de la main. Etude d'une série de trente-cinq cas. Annales de Chirurgie de la Main; 1988. Elsevier.

Jewusiak EM, Spence KF, Sell KW. Solitary benign enchondroma of the long bones of the hand: Results of curettage and packing with freeze-dried cancellous-bone allograft. JBJS. 1971;53(8):1587-90.

Restuccia G, Brancfort B, Russo T. Chondromi della mano. Revisione clinici radiografica (28 cas). Minerva Ortop. Ital. 1982;33(11):1037–41.

Takigawa K. Chondroma of the bones of the hand: A review of 110 cases. JBJS. 1971;53(8):1591-600.

Wilhelm K, Feldmeir C. Enchondroma of the hand skelton. Surgical treatment and results. Arch Orthop. Unfall Chir. 1974;78: 291–97.

Maalla R, et al. Hand enchondrome, review of twenty five cases. Pan Arab J. Orth. Trauma. 2008;12(1):88-94.

Sbai MA, Benzarti S, Sbei F, Bouzaidi Kh, Maalla R. Enchondroma of the scaphoid: A case report. Pan African Medical Journal. 2015;21:133.

Trăistaru MR, Kamal D, Ciurea RN, Postolache P, Alexandru DO, Rogoveanu OC, Kamal KC. Hand enchondroma - complete evaluation and rehabilitation. Rom J. Morphol Embryol. 2018;59(4): 1083-1089.