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Case Report: A rare case of Giant Cell Tumor of Distal Ulna

Acta of Shoulder and Elbow Surgery | Volume 3 | Issue 1 | Jan- June 2019 | Page 19-20 | Soham R Chachcha, Ramavtar Saini, Anand Yadav


Authors: Soham R Chachcha [1], Ramavtar Saini [1], Anand Yadav [1].

[1] Dept. Of Orthopaedics, Geetanjali Medical College and Hospital Udaipur.

Address of Correspondence
Dr. Soham R Chachcha,
Dept. Of Orthopaedics, Geetanjali Medical College and Hospital Udaipur.
E-mail: chacha_soham@yahoo.co.in , chachasoham@gmail.com


Abstract

Background: Giant Cell tumor has a reported incidence of 30% in Indian population out of which only 10% cases occur in adults more than 65 years of age. Distal Femur and proximal Tibia are the most common sites followed by distal Radius . Distal Ulna Giant cell tumor is a rare presentation.
Methods: There are no clear-cut guidelines for treatment of Giant Cell Tumor. The treatment of choice in case of Giant Cell Tumor usually is wide block resection of tumor, and to prevent recurrence adjuvant procedures can be used such as cryotheryapy, phenol, cementing and bone grafting and burring. We used the en bloc resection method.
Result: After the en bloc resection of the tumor, the patient had relief in pain and the range of motion at wrist joint was restored.
Conclusion: Giant Cell tumor of distal Ulna is a rare entity and it is even rarer in Geriatric population. It can be treated with en bloc resection.
Keywords: Distal, Ulna, Giant Cell, Tumor, Geriatric.


References

1. Dr Ajay Puri, Dr. M. G. Agarwal and Dr. DinshawPardiwala in ‘Current concepts in bone and soft tissue tumors’ Chapter 6 Giant Cell Tumor Of Bone Page: 53-63.
2. Goldenberg RR, Campbell CJ, Bonfiglio M. Giant-Cell tumor of bone. An analysis of two hundred and eighteen cases. J Bone Joint Surg Am 1970;52:619-64.
3. D. J. McDonald, F. H. Sim, R. A. McLeod, and D. C. Dahlin, “Giant-cell tumor of bone,” Journal of Bone and Joint Surgery. Series A, vol. 68, no. 2, pp. 235–242, 1986.
4. Cooney WP, Damron TA, Sim FH, Linscheid RL. En bloc resection of tumors of the distal end of the ulna. J Bone Joint Surg Am [Internet]. 1997 Mar [cited 2015 Aug 8];79(3):406–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9070531.
5. B. J. Gainor and J. Schaberg, “The rheumatoid wrist after resection of the distal ulna,” Journal of Hand Surgery, vol. 10, no. 6 I, pp. 837–844, 1985.


How to Cite this article: Chachcha S R, Saini R, Yadav A. Case Report: A rare case of Giant Cell Tumor of Distal Ulna. Acta of Shoulder and Elbow Surgery Jan-June 2019;3(1):19-20.

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