Removing A Giant Cell Tumor From The Anterior Talofibular Ligament
- Volume 25 - Issue 8 - August 2012
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During nine months of postoperative follow-up, the patient showed no complications of the right ankle. Almost one year after the surgery, the patient presented with pain in the right ankle again and with tenderness over the anterior talofibular ligament. I ordered a new MRI. However, the patient did not go for study and was lost in follow-up.
What The Literature Reveals About Giant Cell Tumors
A giant cell tumor is a fairly common bone tumor that accounts for about 5 percent of all the primary bone tumors. It is a benign tumor that has a high chance of recurrence. The recurrence may be due to an initial incomplete excision of the tumor. The giant cell tumor occurs most commonly in the fingers, occurring less in the ankle.5 According to one study, there was no recurrence after the surgery and no cases of malignancy in the 15 cases that were available for long-term follow-up.5 The clinical picture may present as an insidious onset of pain with a history of trauma, which one may misdiagnose as an ankle sprain.
Although there is one documented case involving arthroscopic resection of an extra-articular tenosynovial giant cell tumor from the ankle, we chose to open up the ankle to remove the granuloma.6 This also allowed us to repair the ligament. There are articles on giant cell tumor of the tendon sheath in the ankle but to our knowledge, no giant cell tumor of the tendon sheath has been associated with anterior talofibular ligament.5-7
Dr. Yager is a Fellow of the American College of Foot and Ankle Surgeons. He is in private practice at the New York Foot and Ankle Institute.
Dr. Lee is a third-year resident at the Mount Sinai Hospital Podiatric Residency Program in New York City.
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