Hand Masses

Question 1

Most common primary bone tumor in the hand

Answer 1

Endochondroma

Question 2

Well circumscribed radiolucent lesion with stippling or popcorn like appearance

Answer 2

Endochondroma

Question 3

Nonhereditary form of multiple endochromatosis with unilateral lesions

Answer 3

Ollier disease

Question 4

Multiple Endochondroma and hemangiomas

Answer 4

Maffucci syndrome

Question 5

Localized swelling with nighttime pain relieved by NSAIDs

Answer 5

Osteoid osteoma

Question 6

Central radiolucent nidus with surrounding sclerosis

Answer 6

Osteoid osteoma

Question 7

Subperiosteal lytic lesion with scalloping of the underlying cortex

Answer 7

Periosteal chondroma

Question 8

Osseous growth capped with cartilage extending beyond the cortex on a narrow stalk

Answer 8

Osteochondroma

Question 9

Which hand tumor has the potential for pulmonary metastasis

Answer 9

Giant cell tumors of the bone

Question 10

Juxta articular lesion with cortical expansion

Answer 10

Giant cell tumor of bone

Question 11

Campanacci grading system for giant cell tumors

Answer 11

I - well marginated, intact cortex
II - well marginated, expanded cortex
III - Ill defined, soft tissue extension, cortical destruction

Question 12

Where are glomus bodies located

Answer 12

Stratum reticularis, concentrated at finger tips

Question 13

Paroxysmal pain, hypersensitivity to cold, pinpoint pain

Answer 13

Glomus tumor

Question 14

Hildreths test

Answer 14

Lack of pin point pain at glomus tumor site once tourniquet applied to base of digit

Question 15

Most common benign tumor of the hand

Answer 15

Ganglion cyst

Question 16

Most common site for ganglion cysts

Answer 16

Over the scapholunate junction between the third and fourth extensor compartments

Question 17

Most common clinical presentation for degenerative mucous cysts

Answer 17

Nail deformity due to pressure on the germinal matrix

Question 18

Firm minimally mobile transilluminating mass over DIP joint with pain with movement, thin skin, elderly

Answer 18

Degenerative mucous cyst

Question 19

Multilobular well circumcised mass in the PIP joint that does not transilluminate

Answer 19

Giant cell tumor

Question 20

Most common site for hand tumor metastasis

Answer 20

Lung except epithelioid sarcoma which goes to lymph nodes

Question 21

Treatment for epithelioid sarcoma

Answer 21

Limb sparing wide or radical excision with SNB and adjuvant radiation

Question 22

Firm ulcerating nodule previously mistaken for infection in the volar digit or palm

Answer 22

Epithelioid sarcoma

Question 23

Sudden onset pain, swelling, and edema of hand

Answer 23

Pathologic fracture, most likely to be enchondroma

Question 24

Most common primary malignant bone tumor of the hand

Answer 24

Chondrosarcoma

Question 25

Love sign

Answer 25

Extreme pain with pin point pressure over glomus tumor

Question 26

Painless nonadherent mass over volar forearm with tinel sign present over mass

Answer 26

Neurilemmoma

Question 27

What is the most common primary malignancy of the hand

Answer 27

Squamous cell carcinoma