[Giant cell reparative granuloma of the metacarpal bone : Diagnostic difficulties].

• 影响指数: 0.918
• 发表时间: Aug 2017
• 来源期刊: Unfallchirurg
• DOI: 10.1007/s00113-017-0336-z
• PMID: 28258288
• 文章类型: Case Reports
• 中科院分区: Q4
• 方向: 医学
• 作者列表: Telisselis P,Heers G,Obernhuber E

关键词: Giant cell reparative granuloma; Giant cell tumor; Hand; Wide resection; intraosseous lesion

Mesh: Adolescent; Biopsy / methods; Bone Plates; Carpometacarpal Joints / diagnostic imaging pathology surgery; Diagnosis, Differential; Granuloma, Giant Cell / diagnostic imaging pathology surgery; Humans; Male; Metacarpal Bones / diagnostic imaging pathology surgery; Surgical Wound

Abstract

Giant cell reparative granuloma (GCRG) is benign, non-tumorous granulation tissue. It mainly arises in the jaw bone and occasionally in the hand and foot. Because of the high rate of recurrence, wide surgical resection and autologous bone grafting are recommended. However, this can be problematic for hand function. We present a case report of a 16-year-old boy with a GCRG of the fifth metacarpal bone and the diagnostic difficulties. To treat the patient, we performed a wide resection with the interposition of a corticocancellous bone graft and plate osteosynthesis. 24 months postoperatively the patient shows no signs of recurrence and has good hand function.