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采用Darrach手术治疗尺骨远端骨巨细胞瘤:一例报告

Giant Cell Tumor in the Distal End of the Ulna Managed by Darrach's Procedure: A Case Report.

作者信息

Kandarkar Madhavi M, Jadhav Shivshankar, Kandarkar Sanket M, Patil Deepali S

机构信息

Department of Musculoskeletal Physiotherapy, Ravi Nair College of Physiotherapy, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Orthopaedic Surgery, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Aug 7;15(8):e43101. doi: 10.7759/cureus.43101. eCollection 2023 Aug.

Abstract

Giant cell tumors (GCTs) are rare, benign, and locally invasive tumors, typically found in the epiphysis of long bones, most commonly at the distal femur and proximal tibia. To date, GCTs of the distal end of the ulna have been very rare. We document a case of a 38-year-old female with a distal ulna GCT, managed with en-bloc resection of the tumor with flexor carpi ulnaris and extensor carpi ulnaris tendon stabilization. The main aim of the GCT treatment is to prevent local recurrence and to maintain the function of the limb. Physical therapy was also given to the patient which helped in relieving pain, reducing edema, and increasing strength and range of motion. The patient was able to perform activities of daily living with the help of physical therapies and exercises. More research is needed to determine if broad excision of the distal ulna alone is a successful therapy for primary bone cancers affecting the distal ulna, including GCTs.

摘要

骨巨细胞瘤(GCTs)是一种罕见的、良性的、具有局部侵袭性的肿瘤,通常发生在长骨的骨骺部位,最常见于股骨远端和胫骨近端。迄今为止,尺骨远端的骨巨细胞瘤非常罕见。我们记录了一例38岁女性尺骨远端骨巨细胞瘤病例,采用肿瘤整块切除并稳定尺侧腕屈肌和尺侧腕伸肌腱的方法进行治疗。骨巨细胞瘤治疗的主要目的是预防局部复发并维持肢体功能。患者还接受了物理治疗,这有助于缓解疼痛、减轻水肿,并增强力量和扩大活动范围。借助物理治疗和锻炼,患者能够进行日常生活活动。需要更多研究来确定仅对尺骨远端进行广泛切除是否是治疗包括骨巨细胞瘤在内的影响尺骨远端的原发性骨癌的成功疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1321/10483091/71a781381118/cureus-0015-00000043101-i01.jpg

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