GIANT CELL TUMOUR OF DISTAL END ULNA -RESECTION AND GOLDNER HAYES EXTENSOR CARPI ULNARIS TENODESIS

Abstract

Introduction - Giant cell tumour is locally              aggressive benign tumour occurring at epiphysis in mature skeleton. Knee joint and distal end radius are commonest sites affected. Distal end of ulna is unusual site of occurrence. Treatment depends upon the stage of disease. Case               history- We describe a case of 28 year old male with giant cell tumour of ulna managed with excision of distal end of ulna without any stabilization of carpus with stabilization of           proximal end with split transfer of Extensor carpi ulnaris         tendon. Discussion- A literature review of GCT of distal ulna favors wide resection of ulna to minimize the recurrences. However there is no consensus as to whether stabilization or reconstruction is required or not and what is the optimal method of stabilization or reconstruction. However most of the authors would agree that stabilization of ulnar stump leads to improvement in functional outcome. We have got excellent oncological and functional outcome after wide resection of distal ulna and soft tissue stabilization using one half of the ECU tendon