Arthroscopic Management of Juxta-articular Proximal Humeral Chondroblastoma: The Bazooka Technique.

Arthrosc Tech

Department of Orthopedic Surgery and Traumatology, Kafr El-Sheik University, Kafr El-Sheik, Egypt.

Published: August 2023

Chondroblastoma is a rare benign cartilaginous lesion located mostly in the epiphyses of the long bones. The most common locations are the proximal tibia or femur, distal femur, and proximal humerus. Open curettage and bone grafting constitute the mainstay treatment for this condition. Few reports have documented the use of arthroscopy in tumor surgery owing to the problem of inadequate removal and the difficulty of bone graft delivery to the tumor cavity. The bazooka technique should solve these 2 main problems. In this article, arthroscopic curettage and grafting are described for the treatment of juxta-articular proximal humeral chondroblastoma to lessen postoperative pain and thus enable early mobilization and a quicker rehabilitation in skeletally immature patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466432PMC
http://dx.doi.org/10.1016/j.eats.2023.04.016DOI Listing

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Sports Medicine Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

Article Synopsis
  • - Chondroblastoma is a rare bone tumor found at the ends of bones, accounting for about 1% of primary bone tumors. It can be invasive, and there's a risk of recurrence after traditional open surgery, which can also cause damage to the bone structure.
  • - In this case study, a 14-year-old male underwent a successful arthroscopic procedure to remove a chondroblastoma from the proximal tibia. The surgery involved careful lesion excision and bone cavity management, using a substitute for autologous bone grafts.
  • - After one year of follow-up, the patient showed no symptoms or knee issues, and imaging confirmed successful bone graft healing without recurrence, suggesting that arthroscopic surgery could be a viable
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Chondroblastoma is a rare benign cartilaginous lesion located mostly in the epiphyses of the long bones. The most common locations are the proximal tibia or femur, distal femur, and proximal humerus. Open curettage and bone grafting constitute the mainstay treatment for this condition.

View Article and Find Full Text PDF

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