Giant cell tumor of the capitate

Angelini, Andrea; Mavrogenis, Andreas F.; Ruggieri, Pietro

doi:10.1007/s12306-011-0105-z

Cited by 7 publications

(14 citation statements)

References 21 publications

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“…Only 11 cases of GCT of the capitate bone were reported. [2][3][4][5][6][7][8][9][10] In 9 of 11 cases, the radiographic stage according to the Campanacci et al grading system 8 was found (►Table 1). Details of age, gender, radiographic stage, treatment, and, when available, evolution of these 11 cases are given in ►Table 2.…”

Section: Discussionmentioning

confidence: 98%

Giant Cell Tumor of the Capitate Treated with Excision and Midcarpal Fusion

et al. 2017

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Giant cell tumor (GCT) of bone is rare in the carpus, and only 11 cases have been reported in the capitate bone. The problem with this location is the high recurrence rate due to easy extension to the adjacent joint spaces and bones. We describe a case of GCT on the capitate bone and the treatment in comparison with the previously reported cases. The case report concerns a 48-year-old woman with a GCT of the capitate diagnosed on curettage. The treatment consisted of large resection with the lunatum and third metacarpal arthrodesis, with a successful union at 2 years follow-up, no recurrence, and an improved function of the wrist. When treated by curettage (alone or with adjuvant procedures), the GCT of the capitate recurred in four out of five cases. All tumors treated with large resection did not recur. Recommended treatment of GCT of the capitate is resection with carpometacarpal arthrodesis.

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Section: Discussionmentioning

confidence: 98%

Giant Cell Tumor of the Capitate Treated with Excision and Midcarpal Fusion

et al. 2017

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“…For treatment of GCT of carpal bones, care must be taken when using an intralesional curettage with or without bone grafting, and an excisional procedure is recommended to prevent recurrence [17–19]. If the scaphoid, lunate, or triquetrum is affected, proximal row carpectomy (PRC) or complete excision of the involved bone combined with an intercarpal fusion is the method of choice [20–22].…”

Section: Discussionmentioning

confidence: 99%

An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone

Schmidt¹

2016

Case Reports in Orthopedics

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A 51-year-old female patient presented with a carpal giant cell tumor (GCT) of the right capitate bone. The lesion was initially misdiagnosed as having an osteomyelitis. First, the diagnosis of a benign GCT was confirmed by histological examination. Second, an intralesional curettage and packing of the cavity with cancellous iliac crest bone grafts combined with a fusion of the third carpometacarpal (CMC III) joint were carried out. Third, due to a secondary midcarpal osteoarthritis and a secondary scaphoid nonunion, the CMC III joint fusion plate was removed and the midcarpal joint completely excised. Fourth, in the absence of recurrence of GCT, a four-corner fusion (4CF) with a corticocancellous iliac crest bone graft and complete excision of the scaphoid bone had to be performed. Fifth, a total wrist arthroplasty (TWA) was performed due to hardware failure of 4CF with migration of a headless compression screw into radiocarpal joint which led to erosion of articular surface of the distal radius. At the 3-year follow-up that includes a 1-year follow-up after TWA, there was no recurrence of GCT, and the TWA was not failed. The patient reported that she would have the motion-preserving TWA again.

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“…Giant cell tumor (GCT) accounts for approximately 5% of all tumors in bones. 1 The incidence of GCTs in bones of the hand is estimated to be between 2 and 5%. [1][2][3][4][5][6] However, its occurrence in the carpal bones is extremely rare.…”

Section: Introductionmentioning

confidence: 99%

“…1 The incidence of GCTs in bones of the hand is estimated to be between 2 and 5%. [1][2][3][4][5][6] However, its occurrence in the carpal bones is extremely rare. There are limited case reports describing the occurrence and treatment of GCTs in the carpal bones, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] and a few case reports have described GCT in the capitate.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6] However, its occurrence in the carpal bones is extremely rare. There are limited case reports describing the occurrence and treatment of GCTs in the carpal bones, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] and a few case reports have described GCT in the capitate. [1][2][3][4][5]7,8,11 Most surgeons advocate the following principles: (1) adequate and thorough debridement; (2) use of adjuvant intralesional therapy; (3) bone grafting; and (4) close regular long-term follow-up to treat GCT in bones.…”

Section: Introductionmentioning

confidence: 99%

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Giant Cell Tumor of the Capitate Bone

et al. 2018

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This case report describes a 16-year-old female patient with a giant cell tumor in her right capitate bone. The tumor was removed by intralesional curettage. A high-speed burr was used to extend the margins of the curettage, and alcohol irrigation was used for adjuvant therapy. The cavity of the capitate was filled with allogenic bone graft. There was no recurrence after 2 years of follow-up, and the right wrist radiographs demonstrated healing of the lesion.

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Giant cell tumor of the capitate

Abstract: Giant cell tumors are primary bone tumors most often observed in the metaepiphyses of long bones; location in the hand, especially the carpal bones, is rare. We report a patient with recurrent giant cell tumor of the capitate and discuss treatment and prognosis in this rare site.

Cited by 7 publications

References 21 publications

Giant Cell Tumor of the Capitate Treated with Excision and Midcarpal Fusion

Giant Cell Tumor of the Capitate Treated with Excision and Midcarpal Fusion

An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone

Giant Cell Tumor of the Capitate Bone

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