Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of multiple painless/painful bony enlargements in the hand and digits. History of progressive digital deformity, shortening of phalanges, and localized swelling. No history of trauma. Denies constitutional symptoms. Family history negative for similar skeletal dysplasias.
Clinical Examination Findings
Physical exam reveals multiple firm, non-tender, palpable masses involving the metacarpals and phalanges. Digital shortening and angular deformities noted. Range of motion limited in affected joints. Neurovascular status intact. No evidence of overlying skin ulceration or erythema.
Treatment Protocol
Treatment plan includes serial radiographic monitoring for malignant transformation. Surgical intervention (curettage and bone grafting) indicated for symptomatic lesions, pathological fractures, or significant functional impairment. Orthotic support for deformity management. Referral to oncology if rapid growth or cortical breakthrough is suspected.