Approach to the Treatment of Expansile Metacarpal Aneurysmal Bone Cysts: A Report of Two Cases.
Aneurysmal bone cyst
Denosumab
Giant cell tumor
Hand surgery
Pediatrics
Journal
Journal of hand surgery global online
ISSN: 2589-5141
Titre abrégé: J Hand Surg Glob Online
Pays: United States
ID NLM: 101759126
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
28
04
2023
accepted:
06
05
2023
medline:
4
10
2023
pubmed:
4
10
2023
entrez:
4
10
2023
Statut:
epublish
Résumé
The two cases presented demonstrate the management of aneurysmal bone cysts of the metacarpal, which destroyed the normal bone architecture. Treatment of both cases included wide resection and metacarpal reconstruction with an intercalary fibular allograft. Denosumab use contrasts these two cases and is helpful in reestablishment of a cortical rim for fixation in the absence of a 1-cm margin proximally or distally to preserve the native carpometacarpal and metacarpophalangeal joints. Surgical resection and allograft reconstruction is a viable treatment for expansile metacarpal aneurysmal bone cysts, and neoadjuvant denosumab has utility in creating an ossified margin for fixation.
Identifiants
pubmed: 37790824
doi: 10.1016/j.jhsg.2023.05.004
pii: S2589-5141(23)00082-8
pmc: PMC10543794
doi:
Types de publication
Case Reports
Langues
eng
Pagination
689-694Informations de copyright
© 2023 THE AUTHORS. Published by Elsevier Inc. on behalf of The American Society for Surgery of the Hand.
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