En block resection of GCT at proximal fibula in skeletally immature individual presented with neuropraxia: A case report with literature review

Journal of Orthopaedic Reports Pub Date : 2024-10-26 DOI:10.1016/j.jorep.2024.100484

Bhavya Raj Singh Yadav, R.P. Meena, Umesh Kumar Meena, Pankaj Prajapati

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Abstract

Introduction: proximal fibula is a rare site for giant cell tumor and very few cases are reported in skeletally immature individual. Controversies are present for the management of tumor at this site.

Case report

16 year old boy presented with swelling in left proximal fibular region with foot drop. Needle biopsy revealed giant cell tumor. Type I en bloc resection was performed and followed up for 12 months. Currently he has no signs of recurrence and infection and he is back to his routine work and is in regular follow up.

Discussion

GCT is a tumor of skeletally mature individuals and proximal fibula is a rare site. It is rare to find in skeletally immature individual.

Controversies regarding peroneal nerve sparing and reattachment of lateral stabilizers is still present.

Present

There is good outcome of malawer type 1 en bloc resection in cases of benign locally aggressive tumor if done carefully and from our point of view, peroneal nerve should be preserved for better outcomes.

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在骨骼尚未发育成熟并伴有神经瘫痪的个体中，对腓骨近端 GCT 进行了全切术：病例报告与文献综述

导言：腓骨近端是巨细胞瘤的罕见部位，在骨骼尚未发育成熟的个体中也鲜有报道。病例报告 16 岁男孩因左侧腓骨近端肿胀伴足下垂就诊。针刺活检显示为巨细胞瘤。患者接受了 I 型全切术，随访 12 个月。目前他没有复发和感染的迹象，已恢复正常工作，并接受定期随访。目前，在局部侵袭性良性肿瘤的病例中，如果小心谨慎地进行马拉韦 1 型全切除术，疗效还是不错的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of Orthopaedic Reports

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