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Aneurysmal cyst of the proximal radius: Resection and free vascularized fibular bone graft

✍ Scribed by Jean Nonnenmacher; Jörg Bahm; Patrick Laforest; Ivan Kempf

Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
472 KB
Volume
14
Category
Article
ISSN
0738-1085

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✦ Synopsis

Abstract

We present the case of a 22‐year‐old woman with an aneurysmal cyst of the right proximal radius, treated by resection and a free bone graft (microvascular fibular transfer), without recurrence after 4 years. Over a 4 month period, there was a rapidly expanding and lytic lesion found in the radius. There were symptoms of elbow and wrist pain and early radially innervated muscle weakness. Radiological examination showed a localized tumour of the proximal radius, type 2, grade C, according to the classification of Campanacci. Biopsy led to the diagnosis of an aneurysmal bone cyst. Complete tumour resection was followed by a free vascularized fibular bone graft, resulting in good functional improvement, without local recurrence. Aneurysmal bone cysts are a rare condition, and the location in the radius has not previously been described. Vascularized bone grafts are mechanically and biologically superior in this type of case. © 1993 Wiley‐Liss Inc.

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