PMC4549531_01
Swelling at the time of presentation.
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fig1
A 30-year-old male presented with painless swelling around his right elbow since 4 months (Figure 1).
X-ray at the time of presentation.
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X-ray showed a lytic lesion involving entire proximal ulna with soap bubble appearance with destruction of articular surface (Figure 2).
Peroperative picture of tumour.
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Under general anaesthesia, tumour was exposed through posterior approach to elbow (Figure 3).
Excised tumour.
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Proximal ulna with tumour and 2 cm of normal bone was excised (Figure 4).
Prepared graft.
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fig5
Head of the fibula was shaped to match the olecranon process of ulna and tensor fascia lata was covered over fibular head to act as articular surface (Figure 5).
Histopathology showing giant cell in cluster.
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Specimen was sent for histopathological examination which confirmed the diagnosis of giant cell tumour (Figure 6).
Follow-up X-ray after 2 years.
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At the end of 2 years, patient is pain-free and has a stable and functional elbow (Figure 7).