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Chondroblastoma of the hands and feet

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Abstract

Objective

To review the imaging findings, age and gender distribution of chondroblastoma of the hands and feet.

Design and patients

Twenty-five cases of pathologically proven chondroblastoma of the hands and feet were reviewed. Available imaging modalities included radiographs (n=24), CT (n=3), MRI (n=5), and radionuclide bone scintigraphy (n=1). The following imaging features for each case were tabulated: location, presence of sclerotic margin, calcification, expansion, presence of fluid/fluid levels on cross-sectional imaging and surrounding edema on MRI. The images were evaluated for skeletal maturity using closure of the physeal plate in the region as a standard.

Results

The average age at time of diagnosis was 23 years (range 7–57 years). Eighty-four percent (n=21) of the patients were skeletally mature. Males (20 of 25) outnumbered females by a ratio of 5:1. The bones of the foot accounted for 22 cases: calcaneus (n=8), talus (n=8), metatarsals (n=3), and the cuboid (n=3). The bones of the hand accounted for three cases: phalanx (n=1), triquetrum (n=1), and a metacarpal (n=1). Radiographically all lesions were osteolytic with identifiable calcification in 54% (13 of 24). Fluid/fluid levels were seen in four of five cases on MRI. Edema on MR images was seen in 40% (2 of 5). The size of the lesions ranged from 2 to 41 cm2.

Conclusion

Chondroblastomas of the hands and feet share many of the radiographic characteristics seen in the long bones, but manifest in skeletally mature patients with a higher male to female ratio than in long bone chondroblastoma. Talar and calcaneal lesions were encountered only in males. Chondroblastoma of the wrist and hand appears to be exceptionally rare.

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References

  1. McLeod RA, Beabout JW. The roentgenographic features of chondroblastoma. J Roentgenol Radium Ther Nucl Med 1973; 118:464–471.

    CAS  Google Scholar 

  2. Kunkel MG, Dahlin DC, Young HH. Benign chondroblastoma. J Bone Joint Surg Am 1956; 38:817–826.

    Google Scholar 

  3. Jaffe HL, Lichtenstein L. Benign chondroblastoma of bone. Am J Pathol 1942; 18:969–991.

    Google Scholar 

  4. Unni KK, Dahlin DC. Bone tumors: general aspects and data on 11,087 cases, 5th edn. Springfield: CC Thomas, 1996:7–58.

  5. Turcotte RE, et al. Chondroblastoma. Hum Pathol 1993; 24:944–949.

    Article  CAS  PubMed  Google Scholar 

  6. Springfield DS, et al. Chondroblastoma. J Bone Joint Surg Am 1985;67:748–755.

    CAS  PubMed  Google Scholar 

  7. Kyriakos M, et al. Metastatic chondroblastoma. Cancer 1985; 55:1770–1789.

    CAS  PubMed  Google Scholar 

  8. Dahlin DC. Bone tumors, 3rd edn, vol 1. Springfield: CC Thomas, 1978:43–56.

  9. Mirra JM, Picci P, Gold RH. Bone tumors: clinical, radiologic, and pathologic correlations, 1st edn, vol 1. Philadelphia: Lea & Febiger, 1989:589–622.

  10. Resnick D. Diagnosis of bone and joint disorders, 3rd edn, vol 6. Philadelphia: WB Saunders, 1995:3711–3720.

  11. Bakotic B, Huvos AG. Tumors of the bones of the feet: the clinicopathologic features of 150 cases. J Foot Ankle Surg 2001; 40:277–286.

    CAS  PubMed  Google Scholar 

  12. Barbera C, et al. An unusual case of cystic chondroblastoma of the calcaneus: a case report. Bull Hosp Joint Dis Orthop Inst 1988; 48:88–92.

    CAS  Google Scholar 

  13. Bernstein AL, et al. Cyst and cystlike lesions of the foot. J Foot Surg 1985;24:3–17.

    CAS  PubMed  Google Scholar 

  14. Bliss DG, Mann RJ. Chondroblastoma of a metacarpal. Clin Orthop 1985;194:211–213.

    PubMed  Google Scholar 

  15. Blitch E, Mendicino RW. Chondroblastoma of the calcaneus: literature review and case presentation. J Foot Ankle Surg 1996;35:250–254.

    CAS  PubMed  Google Scholar 

  16. Capanna R, et al. Chondroblastoma. J Bone Joint Surg Am 1985;67:748–755.

    CAS  PubMed  Google Scholar 

  17. Feldman F. Primary bone tumors of the hand and carpus. Hand Clin 1987;3:269–289.

    CAS  PubMed  Google Scholar 

  18. Fink BR, et al. Chondroblastoma of the foot. Foot Ankle Int 1997;18:236–242.

    CAS  PubMed  Google Scholar 

  19. Kricun ME, Kricun R, Haskin M. Chondroblastoma of the calcaneus: radiographic features with emphasis on location. AJR Am J Roentgenol 1977; 128:613–616.

    CAS  PubMed  Google Scholar 

  20. McBryde AJ, Goldner JL. Chondroblastoma of bone. Am Surg 1970;970:94–108.

    Google Scholar 

  21. Ochsner PE, Von Hochstetter AR, Hilfiker B. Chondroblastoma of the talus: natural development over 9.5 years. Arch Orthop Trauma Surg 1988;107:122–125.

    CAS  PubMed  Google Scholar 

  22. Ostrowski ML, Spjut HJ. Lesions of the bones of the hands and feet. Am J Surg Pathol 1997; 21:676–690.

    Article  CAS  PubMed  Google Scholar 

  23. Prohaska DJ, Kneidel TW. Chondroblastoma in a metatarsal. Journal Foot Ankle Surg 1998; 37:63–65.

    CAS  Google Scholar 

  24. Ulreich S, et al. Benign chondroblastoma of talus demonstrated by skeletal scanning. Clin Nucl Med 1978; 3:62–63.

    CAS  PubMed  Google Scholar 

  25. Walling AK, Gasser SI. Soft-Tissue And Bone Tumors About The Foot And Ankle. Clin Sports Med 1994; 13:909–938.

    CAS  PubMed  Google Scholar 

  26. Wong CH, et al. Uncommon Hand Tumors. Hand Surg 2001; 6:67–80.

    Article  CAS  PubMed  Google Scholar 

  27. Yu GV, Sellers CS. Chondroblastoma of the talus. J Foot Ankle Sur 1996; 35:72–77.

    CAS  Google Scholar 

  28. Kransdorf MJ, Murphy MD. MR Imaging Of Musculoskeletal Tumors Of The Hand And Wrist. MRI Clin North Am 1995; 3:327–343.

    CAS  Google Scholar 

  29. Maldjian C, Rosenberg ZS. MR imaging features of tumors of the ankle and foot. MRI Clin North Am 2001; 9:639–657.

    CAS  Google Scholar 

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Author information

Author notes

  1. Murali Sundaram

    Present address: Diagnostic Radiology/A21, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA

Authors and Affiliations

  1. Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

    Jesse A. Davila, Kimberly K. Amrami, Murali Sundaram & Mark C. Adkins

  2. Department of Surgical Pathology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

    Krishnan K. Unni

Authors
  1. Jesse A. Davila
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  2. Kimberly K. Amrami
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  3. Murali Sundaram
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  4. Mark C. Adkins
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  5. Krishnan K. Unni
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Corresponding author

Correspondence to Kimberly K. Amrami.

Additional information

Presented at the special scientific session of the International Skeletal Society held in San Francisco, California, USA, September 2003

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Davila, J.A., Amrami, K.K., Sundaram, M. et al. Chondroblastoma of the hands and feet. Skeletal Radiol 33, 582–587 (2004). https://doi.org/10.1007/s00256-004-0762-1

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  • DOI: https://doi.org/10.1007/s00256-004-0762-1

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