Giant cell tumor of the metacarpal bones

Abstract

Giant cell tumor (GCT) of hand bones is rare. We present two cases of GCT of metacarpal bone. One case was treated successfully with ray amputation. The second patient underwent wide resection and tricortical iliac crest bone grafting. Till the last follow-up (at 26 and 70 months respectively) both patients have been recurrence free and have returned to their previous occupational activities.

Giant cell tumours of the small bones of the hands and feet

“…2,4 It is rare in the small bones of the hands and feet (between 1.7% and 5% of all GCTs). [5][6][7][8][9][10][11] The differential diagnosis includes enchondroma, fibrous dysplasia, aneurysmal bone cyst, osteomyelitis and brown tumour from hyperparathyroidism.…”

Reconstruction of metacarpal bone giant cell tumor by metatarsal bone

“…[1][2][3] However, when encountered it is a quite aggressive tumour involving almost the entire length of the metacarpal at the time of diagnosis. In order to achieve long term local control of disease and to minimize the recurrence, enblock resection of the involved metacarpal is often required.…”

“…In order to achieve long term local control of disease and to minimize the recurrence, enblock resection of the involved metacarpal is often required. [1][2][3]6 In these reconstruction options, patient has to undergo surgeries at multiple sites i.e. foot, leg and iliac crest.…”

“…Involvement of hand bones is rare. [1][2][3][4] In the hand bones, very few cases have been reported involving metacarpals. 5,6 Giant cell tumour of metacarpals has some different features from that of other long bones.…”

“…Various reconstruction techniques include metatarsal substitution, vascularized or non-vascularized fibular graft, iliac crest strut graft. [1][2][3]6 We want to describe another procedure that can be good option for those where metacapo phalangeal joint is involved; we took her metatarsal bone, with intact capsule anatomically matched and biological reconstruction.…”