An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone
A 51-year-old female patient presented with a carpal giant cell tumor (GCT) of the right capitate bone. The lesion was initially misdiagnosed as having an osteomyelitis. First, the diagnosis of a benign GCT was confirmed by histological examination. Second, an intralesional curettage and packing of...
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| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/3705808 |
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| author | Ingo Schmidt |
| author_facet | Ingo Schmidt |
| author_sort | Ingo Schmidt |
| collection | DOAJ |
| description | A 51-year-old female patient presented with a carpal giant cell tumor (GCT) of the right capitate bone. The lesion was initially misdiagnosed as having an osteomyelitis. First, the diagnosis of a benign GCT was confirmed by histological examination. Second, an intralesional curettage and packing of the cavity with cancellous iliac crest bone grafts combined with a fusion of the third carpometacarpal (CMC III) joint were carried out. Third, due to a secondary midcarpal osteoarthritis and a secondary scaphoid nonunion, the CMC III joint fusion plate was removed and the midcarpal joint completely excised. Fourth, in the absence of recurrence of GCT, a four-corner fusion (4CF) with a corticocancellous iliac crest bone graft and complete excision of the scaphoid bone had to be performed. Fifth, a total wrist arthroplasty (TWA) was performed due to hardware failure of 4CF with migration of a headless compression screw into radiocarpal joint which led to erosion of articular surface of the distal radius. At the 3-year follow-up that includes a 1-year follow-up after TWA, there was no recurrence of GCT, and the TWA was not failed. The patient reported that she would have the motion-preserving TWA again. |
| format | Article |
| id | doaj-art-5e7fd65b6f9f44668a6e594230e1f7bd |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-5e7fd65b6f9f44668a6e594230e1f7bd2025-02-03T01:27:39ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/37058083705808An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate BoneIngo Schmidt0SRH Poliklinik Gera GmbH, Straße des Friedens 122, 07548 Gera, GermanyA 51-year-old female patient presented with a carpal giant cell tumor (GCT) of the right capitate bone. The lesion was initially misdiagnosed as having an osteomyelitis. First, the diagnosis of a benign GCT was confirmed by histological examination. Second, an intralesional curettage and packing of the cavity with cancellous iliac crest bone grafts combined with a fusion of the third carpometacarpal (CMC III) joint were carried out. Third, due to a secondary midcarpal osteoarthritis and a secondary scaphoid nonunion, the CMC III joint fusion plate was removed and the midcarpal joint completely excised. Fourth, in the absence of recurrence of GCT, a four-corner fusion (4CF) with a corticocancellous iliac crest bone graft and complete excision of the scaphoid bone had to be performed. Fifth, a total wrist arthroplasty (TWA) was performed due to hardware failure of 4CF with migration of a headless compression screw into radiocarpal joint which led to erosion of articular surface of the distal radius. At the 3-year follow-up that includes a 1-year follow-up after TWA, there was no recurrence of GCT, and the TWA was not failed. The patient reported that she would have the motion-preserving TWA again.http://dx.doi.org/10.1155/2016/3705808 |
| spellingShingle | Ingo Schmidt An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone Case Reports in Orthopedics |
| title | An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone |
| title_full | An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone |
| title_fullStr | An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone |
| title_full_unstemmed | An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone |
| title_short | An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone |
| title_sort | unusual and complicated course of a giant cell tumor of the capitate bone |
| url | http://dx.doi.org/10.1155/2016/3705808 |
| work_keys_str_mv | AT ingoschmidt anunusualandcomplicatedcourseofagiantcelltumorofthecapitatebone AT ingoschmidt unusualandcomplicatedcourseofagiantcelltumorofthecapitatebone |