Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [incidental finding / localized pain / swelling / pathologic fracture] of the [digit/phalanx]. Duration of symptoms is [number] [weeks/months]. No history of trauma, or trauma was [minor/significant]. Denies constitutional symptoms, night pain, or rapid growth. Pain is described as [dull/sharp/throbbing], exacerbated by [activity/pressure].
Clinical Examination Findings
Inspection of the [digit/phalanx] reveals [no visible deformity / localized swelling / angular deformity]. Palpation demonstrates [tenderness / no tenderness] over the affected phalanx. No palpable mass or overlying skin changes. Neurovascular status is intact with [normal capillary refill / sensation / motor function]. Range of motion of the [MCP/PIP/DIP] joints is [full/restricted].
Treatment Protocol
Plan: [Observation / Surgical Intervention]. For asymptomatic lesions: serial radiographic monitoring every [6-12] months to assess for stability. For symptomatic lesions or pathologic fracture: surgical curettage and bone grafting (autograft or synthetic substitute). Post-operative care includes [splinting/immobilization] for [number] weeks followed by physical therapy.