What are the loops present around the enchondroma of the humerus called?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. I have reviewed the attached images (attachments removed to protect the patient's identity). In the loop around the shoulder, you have marked the rotator cuff present around the humeral head. Tendons of four muscles form the cuff, which gets attached to the humerus and helps move the upper limb. The coil loop inside the bone is enchondroma, and it is cartilaginous tissue within the bone. It is neither a blood vessel nor a nerve.

I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

The spiral loop is the appearance of enchondroma. It is a benign lesion. Cartilaginous tissue gets calcified and gives such an appearance. Since calcification is irregular, it gives such a clinical picture (attachments removed to protect the patient's identity). Its shape can be small circles or irregular islands, or spiral loops. Enchondroma is a benign lesion, nothing to be worried about unless there are multiple such lesions in different bones, skin lesions, and multiple bony swellings, especially in hands and feet. In such cases, observation is recommended. Isolated enchondroma can be left untreated if asymptomatic. It may be bone infarction, which is also a benign lesion. Detailed MRI (magnetic resonance imaging) evaluation is required to rule out the same.

I hope this helps.

Thank you and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

It would have been helpful, if you would have attached skin lesions images. If you have multiple bony swellings then clinical evaluation is recommended. Is it a single lesion or do you have enchondroma in other bones as well? Cleaning up of the lesion by currettage followed by bone grafting helps in getting histopathological diagnosis of the lesion, heals up the lesion and prevents chances of fracture. You can follow up with your orthopaedic oncologist for evaluation. Bone marrow aspiration might also be an excellent investigation to provide desired biopsy samples from a minimally invasive procedure.

I hope this helps.

Thank you and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

I have gone through all the images attached (attachments removed to protect the patient's identity), and it appears to be a bacterial skin infection, as suggested by the biopsy or culture report, rather than cafe au lait spots that can be associated with the enchondroma. Your little finger had an extensor tendon injury called a mallet's finger. If it is a partial rupture, then it heals with conservative treatment. Bony avulsion or failure of conservative treatment requires surgical intervention. My recommendation is to get the enchondroma curettage and bone grafting.

I hope this helps.

Thank you and take care.