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Methods: In this retrospective chart review, 69 histologically confirmed neoplasms affecting the bones of the fingers, 49 phalanges and 20 metacarpals, were identified in patients presenting at 2 urban hospitals over a 24-year period. Different variables were studied as possible predictors of pathologic fractures. Results: Forty-nine percent of the tumors presented as a pathologic fracture. The small finger was independently associated with pathologic fractures compared to the other fingers. Tumors of the metacarpal bones were the least likely to fracture compared to other bones. Conclusions: Almost half of neoplasms affecting the bones of the fingers presented initially with a pathologic fracture, most commonly the small finger. Therefore, a lower threshold for surgical treatment of a bone neoplasm affecting the small finger may be reasonable.<\/jats:p>","DOI":"10.1177\/1558944719855443","type":"journal-article","created":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T03:12:57Z","timestamp":1560741177000},"page":"326-331","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Pathologic Fractures in Benign Neoplasms of the Fingers"],"prefix":"10.1177","volume":"16","author":[{"given":"Kamilcan","family":"Oflazoglu","sequence":"first","affiliation":[{"name":"Amsterdam UMC, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Lans","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u00e9 M.","family":"Castelein","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University Medical Center Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago A.","family":"Lozano Calder\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Orthopaedic Oncology Service, Massachusetts General Hospital, Harvard Medical School, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7527-1110","authenticated-orcid":false,"given":"Neal C.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, 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