Giant Cell Reparative Granuloma in the Thumb Distal Phalanx: A Case Report.

Arvind, Varun; Konigsberg, Matthew W; Strauch, Robert J

Arvind, Varun; Konigsberg, Matthew W; Strauch, Robert J.

Afiliación

Arvind V; Orthopedic Surgery, Columbia University College of Physicians and Surgeons, New York, USA.
Konigsberg MW; Orthopedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.
Strauch RJ; Orthopedic Surgery, Columbia University College of Physicians and Surgeons, New York, USA.

Cureus ; 15(8): e43564, 2023 Aug.

Article en En | MEDLINE | ID: mdl-37719544

RESUMEN

Giant cell reparative granulomas (GCRG) often affect the bones of the hands and the feet. Treatment of this lesion depends on the exact location and amount of localized bony destruction. Ours is the first case report to discuss the nuances of treating this lesion in the thumb distal phalanx. A 19-year-old male presented with lytic, destructive expansion of his left thumb distal phalanx; imaging was suggestive of an aneurysmal bone cyst. Open biopsy was interpreted as giant cell reparative granuloma. Curettage and bone grafting resulted in complete healing of the distal phalanx with an excellent range of motion and interphalangeal joint stability. GCRG is a rare, benign entity typically presenting as a lytic bone lesion. Despite the initial massive bony destruction, this lesion nevertheless healed with curettage and bone grafting with maintained flexor pollicis longus and extensor pollicis longus function, permitting excellent active motion postoperatively.

Palabras clave

benign lesion; giant cell reparative granulomas; giant cell tumor; lytic; thumb

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

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