Case of Monostotic Fibrous Dysplasia in the Hand - Malta Medical Journal Volume 14 (2002); Issue 1 November

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Volume 14, Issue 1 (go to table of contents)

Original Article

Case of Monostotic Fibrous Dysplasia in the Hand

Gerhard Attard, Jason Zammit, Carmel Sciberras

Malta Medical Journal, 2002: 1; 45

A case of monostotic fibrous dysplasia in the proximal phalanx of an otherwise healthy, twenty-five year old is discussed. Fibrous dysplasia in the hand is rarely seen. Our patient presented with a swelling in his proximal phalanx. Xrays showed a lytic lesion. The lesion was treated with excision biopsy and cancellous bone grafting. Histological examination excluded malignancy but was diagnostically inconclusive. At recurrence, two and a half years later, a diagnosis of fibrous dysplasia was made. Intractable pain necessitated a ray amputation of the affected phalanx. The indications for surgical intervention in cases of fibrous dysplasia are discussed.

Keywords:

fibrous dysplasia, monostotic fibrous dysplasia, hand, phalanx

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