Proximal Radius Ewing’s Sarcoma Resection Followed by Migration of the Proximal Radius: Report of Two Cases

Abstract

We present two young patients who developed Ewing's sarcoma in the proximal radius, managed surgically by resection and no reconstruction with K-wire fixation of the distal radioulnar joint for 6 weeks. Following surgery, both patients developed proximal radius migration with subluxation, which caused the patients to complain about deformation. Proximal radius migration with subluxation is well documented in trauma cases, although they were not described in orthopedic oncology since reconstruction was the classic management for such cases. Our results support the decision of reconstructing the proximal radius after resection in order for better functional outcome and stability.

Chondrosarcoma of the proximal radius treated by wide resection and reconstructed by 3D printed implant: A case report and description of surgical technique

“…To our knowledge, there are limited reported cases in the literature regarding proximal radius migration, subluxation, or wrist pain after proximal radius resection without reconstruction [18] . Al-Juhani W et al reported two cases of proximal radius migration following resection of radial head for Ewing sarcoma [18] . Liu et al reported a high rate of complications with en bloc resection of giant cell tumors of the radius [19] .…”