Giant Solitary Forearm Exostosis in A Child

Forearm deformity secondary to giant solitary ulna exostosis is rare. We describe a rare presentation of symptomatic solitary giant exostosis involving the entire distal ulna resulting in ulnar bowing of the forearm in a five-year-old boy. The tumour was completely resected and the defect was recons...

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Bibliographic Details
Published inMalaysian Orthopaedic Journal Vol. 3; no. 1; pp. 81 - 84
Main Authors Faisham, WI, Zulmi, W
Format Journal Article
LanguageEnglish
Published Malaysian Orthopaedic Association 01.05.2009
Subjects
Allograft
and periosteum sleeve
Distal ulna exostosis
resection
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Summary:Forearm deformity secondary to giant solitary ulna exostosis is rare. We describe a rare presentation of symptomatic solitary giant exostosis involving the entire distal ulna resulting in ulnar bowing of the forearm in a five-year-old boy. The tumour was completely resected and the defect was reconstructed with an allograft wrapped with a free autogenous periosteal tubular sleeve to deliver fresh pluripotential cells for better incorporation and integration. The distal ulna physes was preserved. An osteotomy was performed on the radius to correct the deformity. One year after surgery, the deformity remains corrected with normal bone length and excellent hand function. There is no evidence of local recurrence and the allograft has fully incorporated.
ISSN:1985-2533
1985-2533
DOI:10.5704/MOJ.0905.016