Osteoscopy for Benign Tumour Surgery in the Hand

Benign bone tumours of the hand are frequently seen by hand surgeons and may cause symptoms or result in pathological fracture. These tumours are usually managed with surgical curettage with, or without, grafting. The surgical approach is determined by the geometry of the tumour and the affected bone, and by the surrounding soft tissue envelope. Whilst curettage of the tumour can be undertaken openly, potentially with the assistance of fluoroscopy, the addition of endoscopy to visualise the tumour cavity (osteoscopy) can aid in tumour removal and makes complete tumour removal more certain. This chapter describes the author’s technique of endoscopic benign tumour excision in hand.