Enchondromas are common benign lesions of the hand. Recurrent lesions, however, may behave notoriously. A potential
malignant transformation should be kept in mind while treating such tumors. We report a case of recurrent enchondroma of
the first metacarpal of the right hand in a 37-year-old lady. A 37-year-old female patient who presented to us with a recurrent
swelling of the thumb. She was surgically treated for the swelling five years back. The swelling recurred four months
after surgery and had grown to the current size. We successfully managed the recurrent enchondroma by en bloc excision,
bone grafting, and Kirschner wires to stabilize it. Recurrent enchondromas are to be approached cautiously. They may
pose a malignant threat. The reasons for recurrence are to be investigated thoroughly to avoid a re-recurrence. Successful
treatment of these lesions is dependent on the complete removal of the tumor bed followed by stabilization.
Key words: Recurrent enchondroma, first metacarpal, Kirshner wire, bone graft, finger stiffness
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