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JBJS Case Connect. 2019 Jan-Mar;9(1):e12. doi: 10.2106/JBJS.CC.18.00158.

Reconstruction of the Proximal Aspect of the Radius After Desmoplastic Fibroma Resection: A Case Report.

Author information

1
Department of Orthopaedic Surgery, Hand and Upper Extremity Service (J.L. and N.C.C.), Department of Pathology (I.A.C.), and Department of Orthopaedic Surgery, Oncology Service (S.L.-C.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
2
Department of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.

Abstract

CASE:

Desmoplastic fibromas are tumors of fibrous tissue that rarely are diagnosed. We present the case of a 27-year-old man who presented with pain of the forearm that was initially diagnosed as a muscle strain. A computed tomography-guided core biopsy revealed a desmoplastic fibroma. Consequently, the patient was treated with a resection of the proximal aspect of the radius followed by reconstruction with use of a vascularized fibular autograft.

CONCLUSION:

At the 2-year follow-up, radiographs showed integration of the autograft; additionally, good results were noted with the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity and Physical Function Short Form T-score and the QuickDASH (an abbreviated version of the Disabilities of the Arm, Shoulder and Hand Score [DASH]) questionnaire, along with good range of motion.

PMID:
30817326
DOI:
10.2106/JBJS.CC.18.00158

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