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Giant Cell Tumor of the Wrist: Rare Location of the Distal ulna

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Open Journal of Orthopedics 2021年第3期11卷 67-72页

作者： Siniki Fandebnet Ngamai Kotyade A. D. Mahamat Nour Ngarieguem O. Wassim Brahim Massar Orthopedics Department Renaissance University Hospital N’Djamena Chad Faculty of Human Health Sciences University of N’Djamena N’Djamena Chad

Giant cell tumor of the wrist is a rare, benign and usually symptomatic condition. The discovery is sometimes made following a medical imaging examination or a painful symptomatology or more often a visible or palpable swelling with or without vascular and/or nerve compression. At an advanced stage, the X-ray is of paramount importance. The well codified complete surgical resection is part of the therapeutic arsenal. We present a clinical case report of a young woman with a giant cell tumor localized in the wrist in N’Djamena, Chad. This case concerns a 25-year-old patient who presented in July 2020 of a painful swelling lateral to her left wrist bone and whose X-ray radiography showed lysis of the cortical bone in the lower third of the ulna. After the operative resection of the tumor mass, the pathological examination of the operative specimen revealed the diagnosis of a giant cell tumor. A giant cell tumor is a benign condition, with a few symptoms and the location at the ulna is exceptional. Complete surgical resection is a viable treatment option.

关键词： Giant Cell Tumor Complete Surgical Resection ulna

Squamous Cell Carcinoma of the Oropharynx Presenting with Distant Metastasis to the ulna

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International Journal of Otolaryngology and Head & Neck Surgery 2013年第6期2卷 240-244页

作者： Preetham Achoor Puthukudy Musarrat Feshan Southern Railway HQ Hospital Chennai India

Squamous cell carcinomas are the commonest malignancies of the head and neck. Metastases from stage III and stage IV tumors occur most commonly in the cervical lymph nodes. The incidence of distant metastases occurring from such advanced tumors is anywhere between 10% and 40%. Distant metastases occur most commonly to the lungs followed by the bone and liver. The bone metastasis occurs commonly in the axial skeleton. We report a rather unusual case of squamous cell carcinomas from the Head and Neck region in a 77-year-old male metastasizing to the ulna. This case is even more interesting because the presenting symptom was a pathological fracture of the ulna for which he had reported to the orthopedic department. The immunohistochemistry of the metastatic tumor had shown an unmistakable squamous cell carcinoma with positive cytokeratin elements within the tumor. He referred to the ENT department where he was diagnosed with T2N0M1 squamous cell carcinoma of the oropharynx. The patient was treated with internal fixation and bone cementing for the metastatic lesion, and primarily treated with chemoradiation.

关键词： Squamous Cell Carcinoma Oropharyngeal Squamous Cell Carcinoma (OPSCC) Oropharynx Distant Metastasis ulna Head and Neck Cancer Pathological Fracture

Osteoclastoma of Proximal ulna―Atypical Location in a 13-Year-Old Child

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Open Journal of Orthopedics 2014年第3期4卷 48-52页

作者： Siddaram Patil Ranjit Kumar Yalamanchili Mamata Medical College Khammam India

Giant cell tumour (GCT) or osteoclastoma is a very rare locally invasive bone tumour that occurs close to the joint. The ulnar metaphysis is an unusual site for an Osteoclastoma with occurrence rate of 0.45% to 3.2% as reported in literature [1]. Most of the patients seek traditional methods of treatment before orthopaedic consultation and present lately with extensive involvement of the tumour into soft tissues and articular surface, making the joint preservation difficult or impossible. For reconstruction, several options have been described, which include fibular autografts, allografts and cement augmentation. Inherent to all these procedures is the risk of delayed union of the graft and preserving functional mobility of the joint. We report a rare case of a proximal ulna GCT diagnosed in a 13-year-old girl. It was treated with intralesional curettage, and autologous maternal iliac crest bone grafting augmented with bone cement reconstruction.

关键词： ulna Bone Cement Bone Graft

Diagnosis and Treatment of a Case of Radius and ulna Fracture in Dog

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Agricultural Biotechnology 2019年第2期8卷 116-118页

作者： Shasha ZHAO Lijun DING Jiangsu Agri-animal Husbandry Vocational College

60% of a dog's body weight is supported by its fore limbs, while the hind limbs mainly play the role of power, so the probability of dog's radius and ulna fracture is greatly increased. This paper mainly introduced the diagnosis and treatment of a case of radius and ulna fracture in dog, with an attempt to provide reference for clinical practice.

关键词： Radius and ulna fracture Diagnosis Treatment Postoperative care

Madelung’s Deformity: Reverse Wedge Osteotomy of the Distal Radius Associate ulnar Wedge Osteotomy: A Case Report

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Open Journal of Orthopedics 2018年第2期8卷 33-38页

作者： Kouassi Kouamé Jean Eric Sery Bada Justin Leopoeld Niaoré Yao Loukou Blaise M’bra Kouame Innocent Krah Koffi Léopold Kouassi Aya Adelaide Nathacha Assere Yao Aboh Ganyn Robert Arnaud Kodo Michel Traumatology and Orthopedics Surgery of the University Hospital of Bouake Bouake Cote d’Ivoire

Madelung deformity is rare, accounting for 1.7% of congenital anomalies. The treatment is essentially surgical and several techniques have been described. We report the result of a case treated in an adult patient by ... 详细信息

关键词： Madelung Deformity Cuneiform Osteotomy Radius ulna

Right ulnar Reconstruction after Sequestrectomy by Non-Vascularized Fibular Transfer in a Girl of Three Years

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Open Journal of Orthopedics 2021年第3期11卷 73-84页

作者： Missoki Azanlédji Boume Kwami Edem Edoh Bikor Yawa Sesime Sanni Nguefack Blanchard Noumedem Cynthia Evlo Vanessa Akakpo Gamédzi Komlatsè Akakpo-Numado Pediatric Surgery Department in Kara Teaching Hospital Kara Togo Pediatric Surgery Department in Campus Teaching Hospital Lomé Togo

Chronic osteomyelitis is serious because of the orthopedic sequels that they could cause. Extended diaphyseal sequestrations could cause bone loss and their management is delicate. Here we report a case of right ulnar diaphyseal reconstruction by non-vascularized fibula transfer. This was a three-year-old girl, non-sickle cell, who had chronic osteomyelitis of the right ulna. The evolution was towards an almost total ulnar diaphyseal sequestration with externalization of the distal extremity. The removal of this large sequestrum occurred almost spontaneously, leaving a significant bone loss over a length of about 6 cm. Secondarily, we reconstructed the right ulnar diaphysis by transfer of a free non-vascularized graft of the left fibula, maintained by a pin. The follow up was favorable with almost complete recovery of prono-supination. Fibular ossification has evolved as well and we did not notice any complications at the graft collection site. Non-vascularized fibula graft transfer is a useful therapeutic option in the management of significant bone defects secondary to chronic osteomyelitis of one of the two forearm bones.

关键词： Free Fibula Transfer Chronic Osteomyelitis ulna Child Togo

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儿童桡骨远端骨骺损伤致尺骨撞击征一例报告

中国骨与关节杂志 2014年第11期3卷 879-880页

作者：王金锋杨丽娟解放军第四○四医院骨二科威海264200 威海市妇幼保健院山东264200

尺骨撞击综合征是由于腕尺侧月骨、三角骨与尺骨头撞击所引起的腕部创伤性关节病,其病理过程早期为软骨改变、骨髓水肿,晚期可导致不可逆性骨坏死及骨关节炎,导致严重的功能障碍[1]。随着临床医生对该病的认识不断提高,国内外相关报道... 详细信息

尺骨撞击综合征是由于腕尺侧月骨、三角骨与尺骨头撞击所引起的腕部创伤性关节病,其病理过程早期为软骨改变、骨髓水肿,晚期可导致不可逆性骨坏死及骨关节炎,导致严重的功能障碍[1]。随着临床医生对该病的认识不断提高,国内外相关报道也逐渐增多,但仍有部分临床医生及影像科医生对此征的认识不足,导致诊治不及时等情况发生。尤其是儿童桡骨远端骨骺损伤的患儿。

关键词： Wrist Epiphyses ulna Radius Osteochondrodysplasias

A systematic review of the non-operative treatment of nightstick fractures

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A systematic review of the non-operative treatment of nights...

Monteggia fracture dislocation equivalents analysis of eighteen cases treated by open reduction and internal fixation

2013中国工程院科技论坛暨浙江省骨科学学术年会

作者： Xun-Zi Cai Shi-Gui Yan Grey Giddins

Non-operative methods are the mainstay of treatment for nightstick *** techniques of immobilisation or early mobilisation have been *** have performed a systematic review of all published randomized controlled trials and observational studies that have assessed the treatment of nightstick fractures with:above-elbow plaster(AEPOP);below-elbow plaster(BEPOP);bracing;and immediate mobilisation (IM).We searched multiple electronic databases,related bibliographies and grey *** included 27 of the 354 relevant literatures *** data relating to the radiological time to union and the rates of delayed union and non-union could be pooled and analyzed statistically. Our analyses indicated that IM had the shortest radiological time to union(mean 8.0 weeks) and the lowest nonunion rate(0.6%).Immobilisation in above and below elbow plasters or braces had longer radiological times to union(9.2 weeks,9.2 weeks and 8.7 weeks,respectively) and higher rates of nonunion(3.3%, 2.1%and 0.8%,respectively).No statistical difference was found in the nonunion rate and the delayed union rate between IM and three modalities of immobilisation(p=0.1421.000).All the studies had significant biases but until a robust RCT is published the best advice for the treatment of undisplaced or partially displaced nightstick fractures appears to be early mobilisation with a removable forearm support for comfort as required.

关键词： Braces Cast Fractures Immobilisation Review ulna

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Chinese Journal of Traumatology 2011年第4期14卷 221-226页

作者： Ajay Pal Singh Ish Kumar Dhammi Anil Kumar Jain Rajeev Raman Prashant Modi Punjab Civil Medical Services-I Mukerian Punjab India Department of Orthopaedics UCMS & GTB HospitalDelhi 110095 India

Objective： Monteggia fracture disloca- tion equivalent, though already described by Bado, is still an unclassified entity. We aimed to retrospectively analyze 18 cases of Monteggia variants and discuss the injury mechanisms, management, and outcome along with a re- view of the literature. Methods： A retrospective record of Monteggia frac- ture dislocation （2003-2008） was reviewed from medical record department of our institute. Classic Monteggia frac- ture dislocation, children below 12 years or adults over 50 years, as well as open grade iI ＆ Ill cases were excluded from this study. Monteggia variant inclusion criteria in- cluded fracture of the proximal ulna together with a fracture of the radial head or neck and skeletal maturity. Totally 26 patients were identified with Monteggia variants and 18 were available for follow-up, including 11 males and 7 fe- males with the mean age of 35 years. The ulna fracture was treated by compression plating along with tension band wiring. Radial head/neck was reconstructed in 12 patients while excised in 6 patients. Results： Follow-up ranged from 1-4 years, mean 2.6 years. Patients were assessed clinicoradiologically. MayoElbow Performance Score outcomes. At final follow-up, was employed to assess the the results were excellent in 10 patients, good in 4, fair in 2 and poor in 2. Mean range of motion of the elbow was 20°, 116°, 50° and 55° for extension, flexion, pronation and supination, respectively. Two patients had complications in the form of heterotopic ossification and stiffness of the elbow. One nonunion ulna, primarily treated by tension band wiring, was managed by refixation with locking reconstruction plate and bone grafting. Bone grafting was only required in this patient for nonunion. Another patient had implants removed on his request. The results in our series closely correlated with extent of intraarticular damage, coronoid fracture and comminuted fractures. Conclusions： Monteggia fracture dislocation equiva-

关键词： Monteggia's fracture Radius fracture ulna