The best time for surgery for chondroma, early detection and early treatment

Patients with enchondroma will experience symptoms of joint pain and bone pain. The general course of the disease is very slow and the symptoms are not very obvious. Surgery is required in a timely manner after diagnosis. It is most appropriate to detect and treat enchondroma in its early stages. Choose the surgical method based on your situation.

1. The best time for surgery for chondroma

Early detection and early treatment. Chondroma is a relatively common benign bone tumor in clinical practice. Single chondroma is more common and is more common around the knees of the lower limbs and the inner side of the elbows of the upper limbs. This benign tumor can be clinically removed surgically with a high cure rate. Only a very small number of cases will have lesions. Early detection and early treatment are recommended. Most cases of single osteochondroma do not require surgical removal, and patients can work and live normally. However, when a single osteochondroma is located in a trunk bone, it should be removed even if it is asymptomatic to prevent the not uncommon development of chondrosarcoma.

2. Symptoms of Chondroma

Bone pain, joint pain, diffuse periosteal thickening, pronation deformity of the forearm, knee varus, knee valgus or coxa varus, swollen fingers and toes

Most patients are between 10 and 50 years old. The disease progresses slowly and generally has no obvious symptoms. It is often only after several years when the tumor grows and causes deformity or intermittent dull pain that the patient's attention is drawn. Multiple enchondromas can be seen in the upper limbs, with the fingers gradually becoming thicker, the ulna often shorter than the radius, and the forearm bending toward the ulnar side. In the lower limbs, enlarged toes, genu valgum, and unequal lengths of the two lower limbs can be seen.

3. Examination of Chondroma

Bone joints and soft tissue

X-ray lipiodol contrast

Plain radiographs of bones and joints of the limbs

MRI of bones and joints

X-ray signs of enchondroma: When it occurs in the finger (toe) bones, it is in the central position. Clear-edged and neat cystic transparent shadows can be seen, the affected bone cortex is swollen and thinned, and scattered sand-like dense spots can be seen within the transparent shadows. When the tumor occurs in the metacarpal (metatarsal) bone, the tumor shadow is larger, often located at the bone end, the bone cortex expands significantly, and there is no periosteal reaction. If the tumor occurs in the long bones of the limbs, the shadow of the tumor is extensive. When the tumor becomes malignant, cortical bone destruction and periosteal reaction may be seen.