Reconstruction of the Proximal Aspect of the Radius After Desmoplastic Fibroma Resection: A Case Report. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Lans, Jonathan; Chebib, Ivan A.; Castelein, René M.; Chen, Neal C.; Lozano-Calderón, Santiago
• Is Part Of: JBJS case connector. Volume 9:Issue 1(2019)
• Publication Date: 2019-01
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.18.00158
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: Desmoplastic fibromas are tumors of fibrous tissue that rarely are diagnosed. We present the case of a 27-year-old man who presented with pain of the forearm that was initially diagnosed as a muscle strain. A computed tomography-guided core biopsy revealed a desmoplastic fibroma. Consequently, the patient was treated with a resection of the proximal aspect of the radius followed by reconstruction with use of a vascularized fibular autograft. Conclusion: At the 2-year follow-up, radiographs showed integration of the autograft; additionally, good results were noted with the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity and Physical Function Short Form T-score and the QuickDASH (an abbreviated version of the Disabilities of the Arm, Shoulder and Hand Score [DASH]) questionnaire, along with good range of motion.