<prompt> Most commonly lesion associated with pathological fracture in hand is -EnchondromaMetastasesOsteoid osteomaOsteochondroma  <response>: Ans. is a i.e., Enchondroma Pathological fractures in hand In hand pathological fractures are most commonly associated with benign bone tumors. About 23 of the bone tumors in hand present with pathological fractures. The average age of presentation is 37 years. The most common bone affected is the proximal phalynx, the fifth ray was involved in 44 of the patients. Majority approximately 88 of the pathological fractures are caused by enchondromas. 