Aneurysmal bone cyst of fourth metacarpal bone in a child: excision and reconstruction with fibular strut graft-a case report and review of literature

作者：Dhatt Sarvdeep^*; Tripathy Sujit Kumar; Goyal Tarun; Dhillon Mandeep Singh

来源：European Journal of Orthopaedic Surgery and Traumatology, 2011, 21(1): 51-54.

DOI：10.1007/s00590-010-0661-1

• Aneurysmal bone cyst
• Metacarpal bone
• Fibular graft

Aneurysmal bone cysts of small bones of hands are rare and pose diagnostic and therapeutic challenge. We report a case of aneurysmal bone cyst of fourth metacarpal bone in a 14-year-old boy who presented with history of pain and swelling for 6 months duration. Radiograph and magnetic resonance imaging revealed a fusiform swelling involving the diaphysis and the distal metaphysis of the fourth metacarpal bone without any cortical breach. The physeal plate was not involved. Histopathological finding confirmed the diagnosis to be aneurysmal bone cyst. The patient was treated with marginal resection of the tumour preserving the articular surface by retaining the epiphysis and the bony defect was reconstructed with autologous fibular strut graft. One-year follow-up revealed an excellent incorporation of the graft with no evidence of local recurrence and also excellent range of motion of the hand. Nonvascularized fibular strut graft is easy to harvest and provide an excellent functional outcome when used as intercalary autograft after excision of aneurysmal bone cyst of hand.

• 出版日期2011-1
• 单位河北医科大学