Table 1. Summary of review of the literature on GCTs of the carpal bones.
No. | Authors | Year | Age | Sex | Bone(s) | Duration | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|
1 | Abdu et al 10 | 1994 | 30 | M | Scaphoid | 6 mo | Resection and silicone implant | Mild reactive silicone synovitis Good wrist function and no evidence of recurrent disease |
2 | Gupta et al 5 | 1995 | 30 | M | Capitate, hamate, and triquetrum | Distal row carpectomy with reconstruction of the left wrist with a bicortical iliac autogenous bone graft and arthrodesis of the distal carpal segment to metacarpals | No recurrence with good hand function on 18-mo follow-up | |
3 | Kew et al 11 | 2000 | 18 | M | Scaphoid | 2 mo | Resection and a pronator quadratus pedicle bone grafting with radioscaphoid fusion | No recurrence was found on 7-y follow-up |
4 | Sakayama et al 12 | 2008 | 24 | F | Hamate | 3 mo | Curettage with acrylic cementation | No recurrence with 100% functional recovery on 3-y follow-up |
5 | Tarng et al 13 | 2009 | 29 | F | Scaphoid, capitate, trapezium, and trapezoid | En bloc resection through a dorsal and volar approach for soft tissue resection, with defect filled autologous with bicortical iliac crest bone graft | No evidence of clinical and radiological evidence of recurrence on 1-y follow-up | |
6 | Kotnis et al 14 | 2009 | 44 | M | Triquetrum | 8 mo | Surgical exploration and local curettage | The patient was symptom-free till for 4 m |
7 | Angelini et al 15 | 2011 | 21 | F | Capitate | 7 mo | Curettage + phenol ablation + morselized corticocancellous bone allograft | Recurrence noticed after 5 mo |
8 | Oufkir et al 16 | 2017 | 48 | F | Capitate | 1 y | Staged procedure Curettage and bone cement Corticocancellous bone graft from the iliac crest, with lunometacarpal arthrodesis |
Complex regional pain syndrome in the early postoperative period 2 y after surgery: pain-free with functional range of motion (30 degrees of extension, 25 degrees of flexion), the grip strength was 50% of that of the unaffected side |
9 | Afsharet al 17 | 2018 | 16 | F | Capitate | 6 mo | Intralesional curettage + alcohol ablation + allogenic bone graft | Satisfactory hand function without any recurrence at 2-y follow-up |
Abbreviations: F, female; GCT, giant cell tumor; M, male.