Hello! I was diagnosed with enchondroma at the tibial head in 2019. It was accidentally found, after an accident on my knee. I was advised to go to MRI every year. Because it stayed the same in size, I was said that is probably benign. Could you please tell me, is it possible to turn into a malign tumor? I cannot find the answer anywhere.
Incredible lecture, thank you. What to think about an enchondroma of 2cm without scalloping visible on MRI but invisible on XRAY radiographs? Is it a common occurence?
Visibility on xray is probably related to the amount of calcification which is related probably to time. It occurs but not common and so long than that it does not show any scalloping or any other sings of activity it will be treated the same as the visible ones
If the crack is in place and we just do buddy taping for 2 weeks, some patients may opt not to do surgery or even delay it if the time is not convenient. There will be no harm in that specially if the patient had no complaint prior to the fracture. However we cannot apply this to the displaced fracture.
@@walidebeid--5521 thank you doctor. I just been diagnosed via X-Ray with an enchondroma in my thumb accidentally as I fractured it during a boxing session. Your video really helped me a lot to rationalise this condition and I feel much better psychologically thanks to you.
السلام عليكم ورحمة الله وبركاته دكتور انا عملت خزعه عظم والنتيجة كانت ورم غضروفي على مستوى القص الصدري عندي ألم وكتله صغيرة بارزه الطبيب نصحني بالمراقبه فقط ولكن عندي تخوف ان يتحول إلى سرطان خصوصا كان عندي سرطان الغده الدرقيه وعالجته باليود المشع بمادا تنصحني يا دكتور وجزاك الله خير الجزاء
Thanks alot for that valuable lecture In high grade chondrosarcoma how to decide how much wide resection for example proximal humerus? Glenoid involved or not ? When to do fusion or arthroplasty?
1. Regarding how much is wide resection. There is no fixed number of cm however a layer of normal tissue free of tumour cells would be sufficient. It also depends on the type of tissue wether it is bone, periosteum, fat, fascia etc. So in a px humeral resection without soft tissue tumour extension, I would preserve the deltoid whereas if there is a soft tissue extension I will resect the part of the deltoid that is covering the mass. 2. Involvement of the glenoid or intra articular extension would be apparent in the axial cuts of the MRI. This will. Necessitate extra articular resection 3. Proximal humeral endoprosthesis behave like a hanger to the upper limb and the shoulder ROM is markedly affected (specially if the axillary nerve and the deltoid were resected with the tumour). It should be reserved for patients with preserved deltoid and axillary nerve and patients that dont do heavy manual work. Fusion using a vascularized fibula or pedicled scapular crest graft offers a durable reconstruction and the ROM is scapulothoracic and very functional.
ماشاء الله ربنا يبارك في حضرتك و في علمك و عملك و يزيدك من فضله 🤲🏻🤲🏻
Hello! I was diagnosed with enchondroma at the tibial head in 2019. It was accidentally found, after an accident on my knee. I was advised to go to MRI every year. Because it stayed the same in size, I was said that is probably benign. Could you please tell me, is it possible to turn into a malign tumor? I cannot find the answer anywhere.
Can I send u a picture if my enchondroma to get your take on the way to go to remove it. It's causing lots of pain in my femur
Incredible lecture, thank you. What to think about an enchondroma of 2cm without scalloping visible on MRI but invisible on XRAY radiographs? Is it a common occurence?
Visibility on xray is probably related to the amount of calcification which is related probably to time. It occurs but not common and so long than that it does not show any scalloping or any other sings of activity it will be treated the same as the visible ones
الله يكرم حضرتك....
In pathological fracture phalanx, hand
What will we gaint If we wait for fracture healing,?
If the crack is in place and we just do buddy taping for 2 weeks, some patients may opt not to do surgery or even delay it if the time is not convenient. There will be no harm in that specially if the patient had no complaint prior to the fracture. However we cannot apply this to the displaced fracture.
@@walidebeid--5521 thank you doctor. I just been diagnosed via X-Ray with an enchondroma in my thumb accidentally as I fractured it during a boxing session. Your video really helped me a lot to rationalise this condition and I feel much better psychologically thanks to you.
السلام عليكم ورحمة الله وبركاته دكتور انا عملت خزعه عظم والنتيجة كانت ورم غضروفي على مستوى القص الصدري عندي ألم وكتله صغيرة بارزه الطبيب نصحني بالمراقبه فقط ولكن عندي تخوف ان يتحول إلى سرطان خصوصا كان عندي سرطان الغده الدرقيه وعالجته باليود المشع
بمادا تنصحني يا دكتور وجزاك الله خير الجزاء
Thanks alot for that valuable lecture
In high grade chondrosarcoma how to decide how much wide resection for example proximal humerus?
Glenoid involved or not ? When to do fusion or arthroplasty?
1. Regarding how much is wide resection. There is no fixed number of cm however a layer of normal tissue free of tumour cells would be sufficient. It also depends on the type of tissue wether it is bone, periosteum, fat, fascia etc.
So in a px humeral resection without soft tissue tumour extension, I would preserve the deltoid whereas if there is a soft tissue extension I will resect the part of the deltoid that is covering the mass.
2. Involvement of the glenoid or intra articular extension would be apparent in the axial cuts of the MRI. This will. Necessitate extra articular resection
3. Proximal humeral endoprosthesis behave like a hanger to the upper limb and the shoulder ROM is markedly affected (specially if the axillary nerve and the deltoid were resected with the tumour). It should be reserved for patients with preserved deltoid and axillary nerve and patients that dont do heavy manual work. Fusion using a vascularized fibula or pedicled scapular crest graft offers a durable reconstruction and the ROM is scapulothoracic and very functional.
@@walidebeid--5521
Thanks alot for your reply sir 🙏