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Giant Cell Tumor of the Wrist After Fracture Osteosynthesis: A Case Report
A 60-year-old female sustained a distal radius fracture and underwent open reduction internal fixation with a volar locking plate. The patient had an uneventful recovery until four months postoperatively when the patient clinically regressed, and an expansile, radiolucent metaepiphyseal lesion was f...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946760/ https://www.ncbi.nlm.nih.gov/pubmed/36843756 http://dx.doi.org/10.7759/cureus.34110 |
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author | Rodriguez Fontan, Francisco Douleh, Diana Federer, Andrew Lindeque, Bennie |
author_facet | Rodriguez Fontan, Francisco Douleh, Diana Federer, Andrew Lindeque, Bennie |
author_sort | Rodriguez Fontan, Francisco |
collection | PubMed |
description | A 60-year-old female sustained a distal radius fracture and underwent open reduction internal fixation with a volar locking plate. The patient had an uneventful recovery until four months postoperatively when the patient clinically regressed, and an expansile, radiolucent metaepiphyseal lesion was found. Further workup revealed this was a giant cell tumor of bone (GCTB). Definitive management consisted of extensive curettage, cryoablation, and cementation of the lesion, and the hardware was left intact. The current case presents an uncommon presentation of GCTB. The case illuminates the importance of thorough scrutiny of postoperative radiographs when clinical improvement plateaus or regresses and the need to pursue additional workup when the clinical course is atypical. The authors query the possibility of a sub-radiological presentation of GCTB. |
format | Online Article Text |
id | pubmed-9946760 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-99467602023-02-23 Giant Cell Tumor of the Wrist After Fracture Osteosynthesis: A Case Report Rodriguez Fontan, Francisco Douleh, Diana Federer, Andrew Lindeque, Bennie Cureus Pathology A 60-year-old female sustained a distal radius fracture and underwent open reduction internal fixation with a volar locking plate. The patient had an uneventful recovery until four months postoperatively when the patient clinically regressed, and an expansile, radiolucent metaepiphyseal lesion was found. Further workup revealed this was a giant cell tumor of bone (GCTB). Definitive management consisted of extensive curettage, cryoablation, and cementation of the lesion, and the hardware was left intact. The current case presents an uncommon presentation of GCTB. The case illuminates the importance of thorough scrutiny of postoperative radiographs when clinical improvement plateaus or regresses and the need to pursue additional workup when the clinical course is atypical. The authors query the possibility of a sub-radiological presentation of GCTB. Cureus 2023-01-23 /pmc/articles/PMC9946760/ /pubmed/36843756 http://dx.doi.org/10.7759/cureus.34110 Text en Copyright © 2023, Rodriguez Fontan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pathology Rodriguez Fontan, Francisco Douleh, Diana Federer, Andrew Lindeque, Bennie Giant Cell Tumor of the Wrist After Fracture Osteosynthesis: A Case Report |
title | Giant Cell Tumor of the Wrist After Fracture Osteosynthesis: A Case Report |
title_full | Giant Cell Tumor of the Wrist After Fracture Osteosynthesis: A Case Report |
title_fullStr | Giant Cell Tumor of the Wrist After Fracture Osteosynthesis: A Case Report |
title_full_unstemmed | Giant Cell Tumor of the Wrist After Fracture Osteosynthesis: A Case Report |
title_short | Giant Cell Tumor of the Wrist After Fracture Osteosynthesis: A Case Report |
title_sort | giant cell tumor of the wrist after fracture osteosynthesis: a case report |
topic | Pathology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946760/ https://www.ncbi.nlm.nih.gov/pubmed/36843756 http://dx.doi.org/10.7759/cureus.34110 |
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