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Aneurysmal cyst of the proximal radius: Resection and free vascularized fibular bone graft
Author(s) -
nenmacher Jean,
Bahm Jörg,
Laforest Patrick,
Kempf Ivan
Publication year - 1993
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920140413
Subject(s) - medicine , aneurysmal bone cyst , surgery , fibula , cyst , wrist , resection , lesion , radiology , tibia
We present the case of a 22‐year‐old woman with an aneurysmal cyst of the right proximal radius, treated by resection and a free bone graft (microvascular fibular transfer), without recurrence after 4 years. Over a 4 month period, there was a rapidly expanding and lytic lesion found in the radius. There were symptoms of elbow and wrist pain and early radially innervated muscle weakness. Radiological examination showed a localized tumour of the proximal radius, type 2, grade C, according to the classification of Campanacci. Biopsy led to the diagnosis of an aneurysmal bone cyst. Complete tumour resection was followed by a free vascularized fibular bone graft, resulting in good functional improvement, without local recurrence. Aneurysmal bone cysts are a rare condition, and the location in the radius has not previously been described. Vascularized bone grafts are mechanically and biologically superior in this type of case. © 1993 Wiley‐Liss Inc.