ArticleJournal of orthopaedic case reports2025
A Novel, Joint Sparing Surgical Approach to the Management of Giant Cell Tumor of the Distal Radius in a Pediatric Patient: A Case Report and Comprehensive Literature Review.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Giant cell tumor (GCT) of bone is a rare, locally aggressive neoplasm predominantly affecting skeletally mature individuals, with infrequent, uncommon occurrence in the pediatric population. Case Report: This case report describes a young skeletally immature female presenting with a Campanacci grade 3 GCT of the distal radius, characterized an osteolytic lesion sparing the epiphysis. Following biopsy confirmation, the patient underwent wide local excision of the tumor with ulnar translocation, fixed using a distal radius locking plate to preserve joint integrity. Post-operative rehabilitation included physiotherapy to restore wrist mobility and grip strength. Results: At 2 years post-surgery, the patient demonstrated no re-occurrence of tumor and satisfactory functional outcomes, including 90° dorsiflexion, 35° palmar flexion, 60° pronosupination, and 68% grip strength compared to the contralateral side. Conclusion: This report highlights an innovative surgical approach that preserves joint functionality in pediatric GCT cases, emphasizing the importance of anatomical reconstruction and long-term functional restoration.
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