Large enchondroma of metacarpal bone without pathological fracture treated with marginal resection and reconstruction with iliac crest graft: A case report

Abstract

Enchondroma is the benign bone tumor commonly found in phalanx and metacarpal shaft. The most common method of treatment is curettage with or without filling the cavity with bone graft with recurrence rate up to 13%. We chose to present this case of a large enchondroma of fourth metacarpal right hand treated with marginal excision and reconstruction of segmental defect with tricortical iliac crest bone graft with excellent functional and cosmetic result. The reason to report this case was owing to the large size of the tumor without pathological fracture despite of long duration and successful reconstruction of metacarpal with simple technique of autograft.