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Case Reports in Orthopedics
Volume 2019, Article ID 7571486, 5 pages
https://doi.org/10.1155/2019/7571486
Case Report

Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting

1Cooper University Hospital, Department of Orthopaedic Surgery, 3 Cooper Plaza Suite 410, Camden, NJ 08103, USA
2Cooper Medical School of Rowan University, 401 Broadway Ave, Camden, NJ 08103, USA
3Cooper University Hospital, Department of Pathology, 1 Cooper Plaza, Camden, NJ 08103, USA

Correspondence should be addressed to Gabriel S. Makar; ude.nawor@3grakam

Received 25 October 2018; Revised 23 January 2019; Accepted 28 March 2019; Published 9 April 2019

Academic Editor: Akio Sakamoto

Copyright © 2019 Chris Hoedt et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of the giant-cell tumor of bone in the scaphoid of a 17-year-old female. Imaging revealed an expansile lytic lesion of her scaphoid, and the diagnosis was confirmed with open biopsy. She was treated with curettage and iliac crest bone graft, in an effort to spare reconstruction of her wrist. After one year, she developed increasing tightness and pain. Local recurrence was apparent on radiographs, and CT revealed increased lucency with bony destruction in the area of prior excision. She was successfully treated, without recurrence to date, with complete scaphoid excision and a four-corner wrist fusion. Local recurrence of the giant-cell tumor of bone is high, especially in carpal bones. When treating patients with advanced lesions, more aggressive initial options should be considered.