Giant-Cell Tumor of the Distal Ulna Treated by Wide Resection and Ulnar Support Reconstruction: A Case Report

Giant-cell tumor of bone occurred in the distal end of the ulna is extremely uncommon. A 23-year-old male had a giant-cell tumor occurred in the distal end of the ulna. After wide resection of the distal segment of the ulna including giant-cell tumor, ulnar components of the wrist joint were reconst...

Full description

Saved in:
Bibliographic Details
Main Authors: Akio Minami, Norimasa Iwasaki, Kinya Nishida, Makoto Motomiya, Katsuhisa Yamada, Daisuke Momma
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/871278
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554209206075392
author Akio Minami
Norimasa Iwasaki
Kinya Nishida
Makoto Motomiya
Katsuhisa Yamada
Daisuke Momma
author_facet Akio Minami
Norimasa Iwasaki
Kinya Nishida
Makoto Motomiya
Katsuhisa Yamada
Daisuke Momma
author_sort Akio Minami
collection DOAJ
description Giant-cell tumor of bone occurred in the distal end of the ulna is extremely uncommon. A 23-year-old male had a giant-cell tumor occurred in the distal end of the ulna. After wide resection of the distal segment of the ulna including giant-cell tumor, ulnar components of the wrist joint were reconstructed with modified Sauvé-Kapandji procedure using the iliac bone graft, preserving the triangular fibrocartilage complex and ulnar collateral ligament in order to maintain ulnar support of the wrist, and the proximal stump of the resected ulna was stabilized by tenodesis using the extensor carpi ulnaris tendon. One year after operation, the patient's wrist was pain-free and had a full range of motion. Postoperative X-rays showed no abnormal findings including recurrence of the giant-cell tumor and ulnar translation of the entire carpus. The stability of the proximal stump of the distal ulna was also maintained.
format Article
id doaj-art-2d5d918593e648f08987021b308f95b2
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2010-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-2d5d918593e648f08987021b308f95b22025-02-03T05:52:03ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/871278871278Giant-Cell Tumor of the Distal Ulna Treated by Wide Resection and Ulnar Support Reconstruction: A Case ReportAkio Minami0Norimasa Iwasaki1Kinya Nishida2Makoto Motomiya3Katsuhisa Yamada4Daisuke Momma5Department of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, JapanDepartment of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, JapanDepartment of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, JapanDepartment of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, JapanDepartment of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, JapanDepartment of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, JapanGiant-cell tumor of bone occurred in the distal end of the ulna is extremely uncommon. A 23-year-old male had a giant-cell tumor occurred in the distal end of the ulna. After wide resection of the distal segment of the ulna including giant-cell tumor, ulnar components of the wrist joint were reconstructed with modified Sauvé-Kapandji procedure using the iliac bone graft, preserving the triangular fibrocartilage complex and ulnar collateral ligament in order to maintain ulnar support of the wrist, and the proximal stump of the resected ulna was stabilized by tenodesis using the extensor carpi ulnaris tendon. One year after operation, the patient's wrist was pain-free and had a full range of motion. Postoperative X-rays showed no abnormal findings including recurrence of the giant-cell tumor and ulnar translation of the entire carpus. The stability of the proximal stump of the distal ulna was also maintained.http://dx.doi.org/10.1155/2010/871278
spellingShingle Akio Minami
Norimasa Iwasaki
Kinya Nishida
Makoto Motomiya
Katsuhisa Yamada
Daisuke Momma
Giant-Cell Tumor of the Distal Ulna Treated by Wide Resection and Ulnar Support Reconstruction: A Case Report
Case Reports in Medicine
title Giant-Cell Tumor of the Distal Ulna Treated by Wide Resection and Ulnar Support Reconstruction: A Case Report
title_full Giant-Cell Tumor of the Distal Ulna Treated by Wide Resection and Ulnar Support Reconstruction: A Case Report
title_fullStr Giant-Cell Tumor of the Distal Ulna Treated by Wide Resection and Ulnar Support Reconstruction: A Case Report
title_full_unstemmed Giant-Cell Tumor of the Distal Ulna Treated by Wide Resection and Ulnar Support Reconstruction: A Case Report
title_short Giant-Cell Tumor of the Distal Ulna Treated by Wide Resection and Ulnar Support Reconstruction: A Case Report
title_sort giant cell tumor of the distal ulna treated by wide resection and ulnar support reconstruction a case report
url http://dx.doi.org/10.1155/2010/871278
work_keys_str_mv AT akiominami giantcelltumorofthedistalulnatreatedbywideresectionandulnarsupportreconstructionacasereport
AT norimasaiwasaki giantcelltumorofthedistalulnatreatedbywideresectionandulnarsupportreconstructionacasereport
AT kinyanishida giantcelltumorofthedistalulnatreatedbywideresectionandulnarsupportreconstructionacasereport
AT makotomotomiya giantcelltumorofthedistalulnatreatedbywideresectionandulnarsupportreconstructionacasereport
AT katsuhisayamada giantcelltumorofthedistalulnatreatedbywideresectionandulnarsupportreconstructionacasereport
AT daisukemomma giantcelltumorofthedistalulnatreatedbywideresectionandulnarsupportreconstructionacasereport