Chondrosarcoma of Distal Radius: A Case Report
Sbai Mohamed Ali *
Plastic and Aesthetic Surgery Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Bitri Ramla
Plastic and Aesthetic Surgery Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Aws Hawawra
Plastic and Aesthetic Surgery Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Feten Sbei
Emergency Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Mahfoudh Sami
Emergency Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Senda Bellila
Plastic and Aesthetic Surgery Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Raja Amri
Emergency Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Riadh Maalla
Plastic and Aesthetic Surgery Department, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
Aims: Chondrosarcomas constitute a rarity in the upper limbs, and their occurrence in the distal radius is even rarer. Early diagnosis through incisional biopsy is essential. Surgical resection with margin control and fibular grafting can be effective.
Presentation of Case: We report a case of distal radius chondrosarcoma in a 50-year-old male presenting with progressive pain and swelling of the left wrist over one year. Incisional biopsy confirmed a dedifferentiated chondrosarcoma. Owing to anatomical constraints and the need to preserve wrist and hand function, a marginal resection of the distal radius was performed, followed by reconstruction using a non-vascularized ipsilateral fibular autograft fixed to the carpal bones. At 3-year follow-up, the patient demonstrated satisfactory graft consolidation and no radiological evidence of local.
Conclusion: Chondrosarcoma of the distal radius is very rare; early diagnosis, wide excision and bone reconstruction can improve the prognosis.
Keywords: Chondrosarcoma, distal radius, plastic surgery, bone graft