Desmoplastic fibroma of ulna: Excision and reconstruction of olecranon with a fibular graft

Desmoplastic fibroma is a rare, well differentiated, locally aggressive fibrous tumor usually arising from soft tissues, and rarely from bones. Involvement of forearm bones is extremely unusual. We present a large desmoplastic fibroma of right ulna in a 15-year-old male. The tumor was excised with a...

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Bibliographic Details
Published in:Indian journal of orthopaedics 2013-03, Vol.47 (2), p.207-210
Main Authors: Goyal, Tarun, Rastogi, Shishir, Tripathy, Sujit K.
Format: Article
Language:English
Subjects:
Arms
Bones
Case Report
Case studies
Conservative Orthopedics
Fibromas
Medicine & Public Health
Orthopedics
Political corruption
Skin & tissue grafts
Surgical Orthopedics
Tumors
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Summary:Desmoplastic fibroma is a rare, well differentiated, locally aggressive fibrous tumor usually arising from soft tissues, and rarely from bones. Involvement of forearm bones is extremely unusual. We present a large desmoplastic fibroma of right ulna in a 15-year-old male. The tumor was excised with a wide margin, and the bony defect was reconstructed with nonvascular autologous fibular graft. Reconstruction of the olecranon process was attempted using the fibular head and the remaining olecranon. At 2-years followup, there was no recurrence, flexion extension arc of the elbow joint was 40°–130° and there was no restriction of activities of daily living.
ISSN:0019-5413
1998-3727
DOI:10.4103/0019-5413.108928