Biological Reconstruction for Metacarpal Osteofibrous Dysplasia Treatment: A Case Report
DOI:
https://doi.org/10.37275/bsm.v7i5.820Keywords:
Hemiarthroplasty, Metacarpal, Metacarpophalangeal joint, Osteoblastic, Osteofibrous dysplasiaAbstract
Background: Osteofibrous dysplasia is a rare benign bone tumor characterized by abnormal differentiation of fibrous tissue in bone and commonly involves the maxilla, mandible, and tibia and affects children less than 10 years old. Osteofibrous dysplasia affecting the metacarpal is a very rare case. This study presents a case report to present biological reconstruction in the management of metacarpal osteofibrous dysplasia.
Case presentation: A 48-year-old female presented with swelling and pain in her right hand over 1 year. On examination, palpable mass with immobile and hard consistency on the first metacarpal and distal neurovascular within normal limit. Radiographic examination (X-ray and MRI) supports osteofibrous dysplasia. We performed complete resection of the first metacarpal and used a fibular graft to maintain length, followed by arthroplasty of the first metacarpophalangeal joint and arthrodesis of the first carpometacarpal joint. Pathological results showed a Chinese letter appearance with osteoblastic rimming that confirmed osteofibrous dysplasia. After 6 months of follow-up, there is no recurrence, and the functional outcome is excellent (MSTS score 93,33%).
Conclusion: Osteofibrous dysplasia on the metacarpal and affected adult is a very rare case. Treatment with complete resection of the metacarpal, using a fibular graft to maintain bone length, and arthroplasty MCP joint will give good results (MSTS score 93,33%). Follow-up for recurrence is necessary.
Authors
- Primadika Rubiansyah1
- Arazy Gifta Prima2*
- Nursanti Apriyani3
- 1Orthopaedic Surgeon, Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia/Lecture Staff, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
- 2Orthopaedic Residence, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
- 3Pathologist, Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia
Corresponding author Arazy Gifta Prima — arazygp@gmail.com
Article history
- Submitted
- Accepted
- Published
Downloads
Published
Issue
Section
License
As our aim is to disseminate original research article, hence the publishing right is a necessary one. The publishing right is needed in order to reach the agreement between the author and publisher. As the journal is fully open access, the authors will sign an exclusive license agreement.
The authors have the right to:
- Share their article in the same ways permitted to third parties under the relevant user license.
- Retain copyright, patent, trademark and other intellectual property rights including research data.
- Proper attribution and credit for the published work.
For the open access article, the publisher is granted to the following right.
- The non-exclusive right to publish the article and grant right to others.
- For the published article, the publisher applied for the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
