Abstract: Gaint cell tumor (GCT) is a bening locally aggressive tumor with a tendency for local recurrence. GCT of metatarsal is of rare occurrence with very few cases reported so far. GCT in this location is rare and should be considered in the differential diagnosis of a destructive bony lesion. We report the case of GCT of 2nd metatarsal in a 28 year male and discuss the clinical features and the results of reconstructive surgery with enbloc resection of distal metatarsal and reconstruction with tricortical iliac graft and plate fixatation.
A 28 year old male presented with an insidious onset of pain and swelling over the dorsum of the right foot. On examination there was an ovoid, tender, firm, well defined swelling opposing the 2nd metatarsal. The 2nd toe movement was normal. X-ray showed an expansile osteolytic lesion with soap bubble appearance in the head and neck of the 2nd metatarsal. FNAC confirmed the diagnosis of GCT. En bloc resection of the tumor , reconstruction with tricortical iliac crest graft and plate fixatation done. On 1 year follow the graft has taken up well, there was no recurrence and normal foot function obtained.
Enbloc resection of the involved metatarsal with autograft and plate fixatation reconstruction is the preferred surgical technique to prevent recurrence and to restore normal foot function.
Keywords: A rare entity, gaint cell tumor, iliac crest tricortical graft, 2nd metatarsal.
Title: GAINT CELL TUMOR OF THE SECOND METATARSAL
Author: Dr.N.S.Raja Rajan, Dr.I.Mubarak Basha
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Research Publish Journals
