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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.

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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.
Department of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.



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.


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.


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