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Reconstruction of the Proximal Aspect of the Radius After Desmoplastic Fibroma Resection

A Case Report

Lans, Jonathan, MD1; Chebib, Ivan A., MD1; Castelein, René M., MD, PhD2; Chen, Neal C., MD1; Lozano-Calderón, Santiago, MD, PhD1

doi: 10.2106/JBJS.CC.18.00158
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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.

1Department of Orthopaedic Surgery, Hand and Upper Extremity Service (J.L. and N.C.C.), Department of Pathology (I.A.C.), and Department of Orthopaedic Surgery, Oncology Service (S.L.-C.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

2Department of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands

E-mail address for J. Lans: jlans@mgh.harvard.edu

E-mail address for I.A. Chebib: ichebib@mgh.harvard.edu

E-mail address for R.M. Castelein: R.M.Castelein@umcutrecht.nl

E-mail address for N.C. Chen: nchen1@partners.org

E-mail address for S. Lozano-Calderón: slozanocalderon@mgh.harvard.edu

Investigation performed at the Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (http://links.lww.com/JBJSCC/A778).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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