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J Hand Microsurg
DOI: 10.1055/s-0043-1771230
Case Report

Surgical Management of Tumoral Calcinosis of the Hand: A Case Report

Madeleine R. Gonte 
1   Department of Plastic Surgery, Henry Ford Hospital, Detroit, Michigan, United States
2   Wayne State University School of Medicine, Detroit, Michigan, United States
3   Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States
,
Collin Brooks
1   Department of Plastic Surgery, Henry Ford Hospital, Detroit, Michigan, United States
2   Wayne State University School of Medicine, Detroit, Michigan, United States
,
Kara Klomparens
1   Department of Plastic Surgery, Henry Ford Hospital, Detroit, Michigan, United States
2   Wayne State University School of Medicine, Detroit, Michigan, United States
,
Yitzchok Greenberg
1   Department of Plastic Surgery, Henry Ford Hospital, Detroit, Michigan, United States
,
Peter Janevski
1   Department of Plastic Surgery, Henry Ford Hospital, Detroit, Michigan, United States
› Author Affiliations Funding None.
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Abstract

Primary tumoral calcinosis is a rare and benign condition characterized by calcium salt deposition in periarticular soft tissues. It typically presents as a firm, rubbery mass that arises around large joints. While an estimated 250 cases have been described since its discovery, very few cases have been identified in the hand. We present a case of multiple calcified masses in the hand, one of which required meticulous dissection from a digital neurovascular bundle, and our technique for surgical excision. We present this case to lower the threshold for clinical suspicion of tumoral calcinosis for patients who present with a soft tissue mass in the hand. Furthermore, we recommend prompt surgical excision due to low success rates of alternative treatment options and to prevent potential neurovasculature or tendon injury.

Keywords

case report - plastic surgery - digital artery - digital nerve - tumoral calcinosis

Ethical Approval

This study was approved by our institutional review board.


Informed Consent

Informed consent was obtained from all individual participants included in the study.




Publication History

Article published online:
07 August 2023

© 2023. Society of Indian Hand Surgery & Microsurgeons. All rights reserved.

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