Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting

Autor: Chris Hoedt, Gabriel S. Makar, Christina J. Gutowski, Thomas Holdbrook, Tae Won B. Kim, David A. Fuller
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Orthopedics, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6749
2090-6757
DOI: 10.1155/2019/7571486
Popis: We present a case of the giant-cell tumor of bone in the scaphoid of a 17-year-old female. Imaging revealed an expansile lytic lesion of her scaphoid, and the diagnosis was confirmed with open biopsy. She was treated with curettage and iliac crest bone graft, in an effort to spare reconstruction of her wrist. After one year, she developed increasing tightness and pain. Local recurrence was apparent on radiographs, and CT revealed increased lucency with bony destruction in the area of prior excision. She was successfully treated, without recurrence to date, with complete scaphoid excision and a four-corner wrist fusion. Local recurrence of the giant-cell tumor of bone is high, especially in carpal bones. When treating patients with advanced lesions, more aggressive initial options should be considered.
Databáze: Directory of Open Access Journals
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