Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting
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...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/7571486 |
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| author | Chris Hoedt Gabriel S. Makar Christina J. Gutowski Thomas Holdbrook Tae Won B. Kim David A. Fuller |
| author_facet | Chris Hoedt Gabriel S. Makar Christina J. Gutowski Thomas Holdbrook Tae Won B. Kim David A. Fuller |
| author_sort | Chris Hoedt |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9e42ce0fae10414bb057fb02aac16912 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-9e42ce0fae10414bb057fb02aac169122025-02-03T05:52:32ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/75714867571486Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone GraftingChris Hoedt0Gabriel S. Makar1Christina J. Gutowski2Thomas Holdbrook3Tae Won B. Kim4David A. Fuller5Cooper University Hospital, Department of Orthopaedic Surgery, 3 Cooper Plaza Suite 410, Camden, NJ 08103, USACooper Medical School of Rowan University, 401 Broadway Ave, Camden, NJ 08103, USACooper University Hospital, Department of Orthopaedic Surgery, 3 Cooper Plaza Suite 410, Camden, NJ 08103, USACooper University Hospital, Department of Pathology, 1 Cooper Plaza, Camden, NJ 08103, USACooper University Hospital, Department of Orthopaedic Surgery, 3 Cooper Plaza Suite 410, Camden, NJ 08103, USACooper University Hospital, Department of Orthopaedic Surgery, 3 Cooper Plaza Suite 410, Camden, NJ 08103, USAWe 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.http://dx.doi.org/10.1155/2019/7571486 |
| spellingShingle | Chris Hoedt Gabriel S. Makar Christina J. Gutowski Thomas Holdbrook Tae Won B. Kim David A. Fuller Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting Case Reports in Orthopedics |
| title | Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting |
| title_full | Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting |
| title_fullStr | Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting |
| title_full_unstemmed | Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting |
| title_short | Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting |
| title_sort | recurrent adolescent giant cell tumor of the scaphoid scaphoid excision with intracarpal fusion after failed curettage and bone grafting |
| url | http://dx.doi.org/10.1155/2019/7571486 |
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