A rare case of massive carpal osteoblastoma requiring complex reconstructive surgery.
J Plast Reconstr Aesthet Surg
; 66(7): e193-6, 2013 Jul.
Article
de En
| MEDLINE
| ID: mdl-23490981
ABSTRACT
An osteoblastoma is a rare, commonly benign, osteoid-producing neoplasm of the bone with an incidence of 2% of all primary bone tumours. We present a case of a 54-year-old patient with persisting carpal pain and massive swelling of the hand for a period of 4 years. Incision biopsies revealed the histopathological finding of a carpal osteoblastoma. After complete tumour excision, including the carpal and, in parts, metacarpal bones, reconstructive surgery was performed with a free osteocutaneous iliac crest flap to obtain a natural hand contour and the best possible hand function. Follow-up revealed improvement of the hand function in terms of flexion, extension and strength without discomfort or further pain. Thus, ongoing carpal pain should lead to an intensive search with further diagnostic measures such as magnetic resonance imaging (MRI) scan as well as biopsies, if necessary, to obtain the correct diagnosis.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Lambeaux chirurgicaux
/
Tumeurs osseuses
/
Os du carpe
/
Ostéoblastome
/
Type d'étude:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
J Plast Reconstr Aesthet Surg
Année:
2013
Type de document:
Article
Pays d'affiliation:
Allemagne