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Aneurysmal bone cysts in the hand treated by free non-vascular transfer of metatarsal or proximal phalanx from the foot.

Abstract

Two cases of aneurysmal bone cyst in the hand are reported. In one case the entire first metacarpal was resected and grafted using the fourth metatarsal. In the second case diaphysectomy of the middle phalanx of the index digit was performed, and the proximal phalanx of the second toe was used as graft. Satisfactory length and function were maintained, the grafts remained viable and there was no donor site morbidity. Transplant of a metatarsal or toe phalanx to the hand, as a free non-vascularized graft, is a relatively straight forward operation, requires minimal refashioning of the graft, provides articular surfaces for joint reconstruction and leaves little donor site morbidity.

Authors+Show Affiliations

,

Pulvertaft Hand Centre, Derbyshire Royal Infirmary, Derby, UK.

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Source

MeSH

Adult
Bone Cysts, Aneurysmal
Child
Female
Foot
Hand
Humans
Male
Metacarpus
Metatarsal Bones
Reoperation
Toes
Transplantation, Autologous

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8308431

Citation

Rao, G S., et al. "Aneurysmal Bone Cysts in the Hand Treated By Free Non-vascular Transfer of Metatarsal or Proximal Phalanx From the Foot." Journal of Hand Surgery (Edinburgh, Scotland), vol. 18, no. 6, 1993, pp. 736-41.
Rao GS, Keogh P, Webster H, et al. Aneurysmal bone cysts in the hand treated by free non-vascular transfer of metatarsal or proximal phalanx from the foot. J Hand Surg Br. 1993;18(6):736-41.
Rao, G. S., Keogh, P., Webster, H., Lunn, P. G., & Burke, F. D. (1993). Aneurysmal bone cysts in the hand treated by free non-vascular transfer of metatarsal or proximal phalanx from the foot. Journal of Hand Surgery (Edinburgh, Scotland), 18(6), pp. 736-41.
Rao GS, et al. Aneurysmal Bone Cysts in the Hand Treated By Free Non-vascular Transfer of Metatarsal or Proximal Phalanx From the Foot. J Hand Surg Br. 1993;18(6):736-41. PubMed PMID: 8308431.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Aneurysmal bone cysts in the hand treated by free non-vascular transfer of metatarsal or proximal phalanx from the foot. AU - Rao,G S, AU - Keogh,P, AU - Webster,H, AU - Lunn,P G, AU - Burke,F D, PY - 1993/12/1/pubmed PY - 1993/12/1/medline PY - 1993/12/1/entrez SP - 736 EP - 41 JF - Journal of hand surgery (Edinburgh, Scotland) JO - J Hand Surg Br VL - 18 IS - 6 N2 - Two cases of aneurysmal bone cyst in the hand are reported. In one case the entire first metacarpal was resected and grafted using the fourth metatarsal. In the second case diaphysectomy of the middle phalanx of the index digit was performed, and the proximal phalanx of the second toe was used as graft. Satisfactory length and function were maintained, the grafts remained viable and there was no donor site morbidity. Transplant of a metatarsal or toe phalanx to the hand, as a free non-vascularized graft, is a relatively straight forward operation, requires minimal refashioning of the graft, provides articular surfaces for joint reconstruction and leaves little donor site morbidity. SN - 0266-7681 UR - https://www.unboundmedicine.com/medline/citation/8308431/Aneurysmal_bone_cysts_in_the_hand_treated_by_free_non-vascular_transfer_of_metatarsal_or_proximal_phalanx_from_the_foot L2 - http://www.diseaseinfosearch.org/result/450 DB - PRIME DP - Unbound Medicine ER -