Monostotic fibrous dysplasia of the metacarpal: a case report

Detalhes bibliográficos
Autor(a) principal: Batista,Kátia Tôrres
Data de Publicação: 2016
Outros Autores: Araújo,Hugo José de, Schwartzman,Ulises Prieto y
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600730
Resumo: ABSTRACT Fibrous dysplasia is a bone disease characterized by abnormal differentiation of fibrous tissue in the bones; it is often asymptomatic. It may affect one bone (monostotic) or several bones (polyostotic). The monostotic form primarily affects the ribs, but hardly ever affects the hand. It is important to make the differential diagnosis with malignant bone tumors. This article describes the treatment and outcome of a rare case of a patient admitted with a history of tumor growth in the right hand, diagnosed as fibrous dysplasia of the right second metacarpal. Male patient, 14 years of age, admitted to the Sarah Hospital with lesion on the dorsum of the right hand without pain complaints, previous history of trauma, nor local signs of inflammation. Physical examination revealed swelling on the dorsum of the second metacarpal, painless, with unaltered mobility and sensitivity. Radiography, computed tomography, and magnetic resonance imaging indicated the involvement of the entire length of the second metacarpal: only the distal epiphysis was preserved, with areas of bone lysis. After biopsy confirmation, the patient underwent surgery, using a long cortical graft for reconstructing the metacarpal. During the follow-up period of five years there were no signs of recurrence, and proper digital growth and functionality of the operated hand were observed.
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spelling Monostotic fibrous dysplasia of the metacarpal: a case reportDiseaseMetacarpusCystic fibrous osteitisFibrous dysplasia of boneABSTRACT Fibrous dysplasia is a bone disease characterized by abnormal differentiation of fibrous tissue in the bones; it is often asymptomatic. It may affect one bone (monostotic) or several bones (polyostotic). The monostotic form primarily affects the ribs, but hardly ever affects the hand. It is important to make the differential diagnosis with malignant bone tumors. This article describes the treatment and outcome of a rare case of a patient admitted with a history of tumor growth in the right hand, diagnosed as fibrous dysplasia of the right second metacarpal. Male patient, 14 years of age, admitted to the Sarah Hospital with lesion on the dorsum of the right hand without pain complaints, previous history of trauma, nor local signs of inflammation. Physical examination revealed swelling on the dorsum of the second metacarpal, painless, with unaltered mobility and sensitivity. Radiography, computed tomography, and magnetic resonance imaging indicated the involvement of the entire length of the second metacarpal: only the distal epiphysis was preserved, with areas of bone lysis. After biopsy confirmation, the patient underwent surgery, using a long cortical graft for reconstructing the metacarpal. During the follow-up period of five years there were no signs of recurrence, and proper digital growth and functionality of the operated hand were observed.Sociedade Brasileira de Ortopedia e Traumatologia2016-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600730Revista Brasileira de Ortopedia v.51 n.6 2016reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2016.10.008info:eu-repo/semantics/openAccessBatista,Kátia TôrresAraújo,Hugo José deSchwartzman,Ulises Prieto yeng2016-12-19T00:00:00Zoai:scielo:S0102-36162016000600730Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2016-12-19T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Monostotic fibrous dysplasia of the metacarpal: a case report
title Monostotic fibrous dysplasia of the metacarpal: a case report
spellingShingle Monostotic fibrous dysplasia of the metacarpal: a case report
Batista,Kátia Tôrres
Disease
Metacarpus
Cystic fibrous osteitis
Fibrous dysplasia of bone
title_short Monostotic fibrous dysplasia of the metacarpal: a case report
title_full Monostotic fibrous dysplasia of the metacarpal: a case report
title_fullStr Monostotic fibrous dysplasia of the metacarpal: a case report
title_full_unstemmed Monostotic fibrous dysplasia of the metacarpal: a case report
title_sort Monostotic fibrous dysplasia of the metacarpal: a case report
author Batista,Kátia Tôrres
author_facet Batista,Kátia Tôrres
Araújo,Hugo José de
Schwartzman,Ulises Prieto y
author_role author
author2 Araújo,Hugo José de
Schwartzman,Ulises Prieto y
author2_role author
author
dc.contributor.author.fl_str_mv Batista,Kátia Tôrres
Araújo,Hugo José de
Schwartzman,Ulises Prieto y
dc.subject.por.fl_str_mv Disease
Metacarpus
Cystic fibrous osteitis
Fibrous dysplasia of bone
topic Disease
Metacarpus
Cystic fibrous osteitis
Fibrous dysplasia of bone
description ABSTRACT Fibrous dysplasia is a bone disease characterized by abnormal differentiation of fibrous tissue in the bones; it is often asymptomatic. It may affect one bone (monostotic) or several bones (polyostotic). The monostotic form primarily affects the ribs, but hardly ever affects the hand. It is important to make the differential diagnosis with malignant bone tumors. This article describes the treatment and outcome of a rare case of a patient admitted with a history of tumor growth in the right hand, diagnosed as fibrous dysplasia of the right second metacarpal. Male patient, 14 years of age, admitted to the Sarah Hospital with lesion on the dorsum of the right hand without pain complaints, previous history of trauma, nor local signs of inflammation. Physical examination revealed swelling on the dorsum of the second metacarpal, painless, with unaltered mobility and sensitivity. Radiography, computed tomography, and magnetic resonance imaging indicated the involvement of the entire length of the second metacarpal: only the distal epiphysis was preserved, with areas of bone lysis. After biopsy confirmation, the patient underwent surgery, using a long cortical graft for reconstructing the metacarpal. During the follow-up period of five years there were no signs of recurrence, and proper digital growth and functionality of the operated hand were observed.
publishDate 2016
dc.date.none.fl_str_mv 2016-12-01
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600730
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rboe.2016.10.008
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.51 n.6 2016
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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