TOTAL DESTRUCTION OF THE FOURTH METACARPAL BONE BY ANEURYSMAL BONE CYST: RECONSTRUCTION WITH STRUT FIBULAR GRAFT: A CASE REPORT

Küçük Resim Yok

Tarih

2005

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

World Scientific Publ Co Pte Ltd

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Araştırma projeleri

Organizasyon Birimleri

Dergi sayısı

Özet

Total destruction of the fourth metacarpal bone by aneurysmal bone cyst is presented. Despite the benign nature of the lesion on plain radiograms, magnetic resonance imaging (MRI) has revealed total destruction of metacarpal bone with shelling off the articular cartilages on both ends of the metacarpal. Both adjacent dorsal interosseous muscles were also involved with tumour. After removal of the metacarpal bone and third and fourth interossei, fibular bicortical strut graft was used for reconstruction. Arthrodesis was done both at the carpometacarpal and metacarpophalangeal (MCP) joints. The follow-up radiograms at one year revealed excellent incorporation of the graft with no evidence of local recurrence. A careful pre-operative work-up including MRI seems necessary even in lesions that look typically benign with intraosseous location on plain radiograms. This approach may prevent unpredicted morphologic picture during surgery, high recurrence rate and the number of operations.

Açıklama

Anahtar Kelimeler

Aneurysmal Bone Cyst, Metacarpal, Fibular Bones Graft, Reconstruction

Kaynak

Journal of Hand Surgery-Asian-Pacific Volume

WoS Q Değeri

N/A

Scopus Q Değeri

Q3

Cilt

10

Sayı

2.Mar

Künye