title: Chondrosarcoma of the head of the fifth metacarpal treated with an iliac crest bone graft and concurrent Swanson's arthroplasty.
abstract: Chondrosarcomas are rare malignant tumours of the bone with hyaline cartilage differentiation - only 1.5% affect the hands. Currently there is a limited range of techniques available to reconstruct the metacarpophalengeal joints affected by such neoplasias. We report a 30-year-old lady who presented with a grade 2 chondrosarcoma in the epiphseal region of her fifth metacarpal who underwent enbloc resection of the affected metacarpal and immediate reconstruction, using a Swansons arthroplasty and non-vascularised iliac crest bone graft. Our findings are presented after follow-up of 9 years and we review the current reconstructive options available.
authors.affiliation: St George's Hospital, Blackshaw Road, London SW17 0QT, UK. Electronic address: ajh502@gmail.com.
authors.forename: A J
authors.initials: AJ
authors.lastname: Hills
authors.affiliation: St George's Hospital, Blackshaw Road, London SW17 0QT, UK.
authors.forename: S
authors.initials: S
authors.lastname: Tay
authors.affiliation: St George's Hospital, Blackshaw Road, London SW17 0QT, UK.
authors.forename: D
authors.initials: D
authors.lastname: Gateley
mesh_terms: D000328:Adult; D001178:Arthroplasty; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation; D002813:Chondrosarcoma / Q000601:surgery*; D005260:Female; D006801:Humans; D050279:Metacarpal Bones / Q000601:surgery*; D008662:Metacarpophalangeal Joint / Q000601:surgery*
keywords: Arthroplasty; Cancer; Case study; Chondrosarcoma; Hand; MCPJ; Metacarpal; Neoplasia; Reconstruction; Review; Swansons