[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-449889-105":59,"doc-detail-449889-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","recurrent-giant-cell-tumor-of-the-carpal-bones-in-an-adult-male-a-rare-case-report-and-literature-review","Recurrent Giant Cell Tumor of the Carpal Bones in an Adult Male - A Rare Case Report and Literature Review","","Recurrent giant cell tumor of the carpal bones is presented in an adult male, highlighting a rare, locally aggressive condition with high recurrence risk. The case describes prior curettage and bone grafting followed by recurrence one year later, with painful swelling and restricted wrist motion. Management involved en bloc excision, extended curettage, iliac crest autografting, and temporary Kirschner wire fixation, resulting in good pain relief, preserved wrist motion, and no recurrence or metastasis at 12 months based on PET-CT.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/recurrent-giant-cell-tumor-of-the-carpal-bones-in-an-adult-male-a-rare-case-report-and-literature-review/449889/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/recurrent-giant-cell-tumor-of-the-carpal-bones-in-an-adult-male-a-rare-case-report-and-literature-review/449889.png","ImageObject",300,407,{"name":92,"@type":93},"pixelkiddo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is carpal giant cell tumor management challenging?","Question",{"text":113,"@type":114},"Carpal involvement is rare and technically difficult due to limited bone volume, proximity to joint surfaces that may be damaged, and the need to preserve wrist function despite high recurrence risk.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What treatment approach was used for the recurrent case?",{"text":118,"@type":114},"The patient underwent en bloc excision with extended curettage and reconstruction using iliac crest autograft stabilized by Kirschner wires.",{"name":120,"@type":111,"acceptedAnswer":121},"What were the main outcomes at follow-up?",{"text":122,"@type":114},"At 12 months, PET-CT showed no recurrence or metastasis, pain improved, wrist motion was maintained, and functional scores were favorable (Mayo Wrist Score 85 and DASH 8.3).","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},449889,1790765300,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962090883892,"https://ap-avatar.wpscdn.com/avatar/e00115db34f3e0f11b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790152879550218658","Case Report  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 140-144   \nRecurrent Giant Cell Tumor of the Carpal Bones in an Adult Male Managed by En-bloc Excision, Extended Curettage, Bone Grafting, and all-Kirschner Wire Fixation: A Rare Case Report and Literature Review  \nRamesh Govindharaaju¹, K Kumaran Chettiar ¹, Hariharan Selvam ¹, Sharafuddeen Mammu²,  \nJerin P Rajan³  \nLearning Point of the Article:  \nGiant cell tumor of carpal bones is a rare, aggressive condition that carries a high risk ofrecurrence, and en bloc excision with extended curettage and structural autografting can provide effective local control while preserving wrist function.  \nAbstract  \nIntroduction: Giant cell tumor of bone (GCTB) is abenign but locally aggressive lesion, rarely affecting the carpus (\u003C2% of hand GCTs), and is associated with recurrence rates up to 87%. Management ofcarpal GCTis challenging duetothe limited bonevolume, risk of damage to articular cartilage, and the need topreserve wrist function.  \nCase Report: A 38-year-old male presented with recurrent GCTof his leftwrist 1year after curettage and bone grafting. He had painful swelling, restricted motion, and an expansile lesion involving the distal carpal row and bases ofthe 2nd–4th metacarpals. He underwent en bloc excision with extended curettage and reconstruction using iliac crest autograft stabilized by Kirschner wires. Post-operatively, he had good pain relief and maintained good wrist motion. At 12 months, positron emission tomography-computed tomography showed no recurrence or metastasis; Mayo Wrist Score was85 (Good) and the disabilities of the arm, shoulder and hand score was8.3.  \nConclusion: Recurrent carpal GCTB can be managed with en bloc excision, extended curettage, autografting, and temporary fixation, achieving adequate disease control and preservation ofwrist motion. Long-term surveillance remains essential as recurrence is high in lesions of the carpal bones.  \nKeywords: Giant cell tumor, carpalbones, enbloc resection, iliaccrest autograft, Kirschner wire fixation.  \nIntroduction  \nGiant cell tumor of bone (GCTB) is a benign but locally aggressive neoplasm accounting for 4–5% of primary bone tumors, most frequently affecting the epi-metaphyseal regions of long bones in young adults. Involvement of the hand is rare (~2%), with carpal bone lesions representing an even smaller subset [ 1,2] . Among these, the capitate is most frequently  \nreported, though multifocal carpal involvement has also been described. Carpal GCTB is particularly challenging due to limited bone stock, proximity to vital joint surfaces, and historically high recurrence rates, reported as 60–87% in handlesions [1].  \nManagement strategies range from intralesional curettage with grafting to wide excision and reconstruction. While curettage  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6482](https://doi.org/10.13107/jocr.2025.v15.i12.6482) | Author’s Photo Gallery |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n|  | \u003Cbr>Dr. Ramesh Govindharaaju | \u003Cbr>Dr. K Kumaran Chettiar | | \u003Cbr>Dr. Sharafuddeen Mammu | |\n|  | \u003Cbr>1Department of Orthopaedics, Government Medical College, Kozhikode, Kerala, India,²Department of Orthopaedics, Fathima Hospital, Kozhikode, Kerala, India,³Department of Pathology, Government Medical College, Kozhikode, Kerala, India.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. Ramesh Govindharaaju,\u003Cbr>Department of Orthopaedics, Government Medical College, Kozhikode, Kerala, India. [E-mail:](E-mail: doctor.rameshg@gmail.com)[ doctor.rameshg@gmail.com](E-mail: doctor.rameshg@gmail.com) |  |  |  |  |\n| Submitted: 15/09/2025; Review: 03/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6482](https://doi.org/10.13107/jocr.2025.v15.i12.6482)\u003Cbr>© The Author(s). 2025 Open Access. This article is distrib","cbCaioIsmIb8Kvqd","https://ap.wps.com/l/cbCaioIsmIb8Kvqd","pdf",7145293,"English","# Learning Point of the Article\n# Abstract\n# Introduction\n# Case Report\n# Conclusion\n# Keywords","[{\"question\":\"Why is carpal giant cell tumor management challenging?\",\"answer\":\"Carpal involvement is rare and technically difficult due to limited bone volume, proximity to joint surfaces that may be damaged, and the need to preserve wrist function despite high recurrence risk.\"},{\"question\":\"What treatment approach was used for the recurrent case?\",\"answer\":\"The patient underwent en bloc excision with extended curettage and reconstruction using iliac crest autograft stabilized by Kirschner wires.\"},{\"question\":\"What were the main outcomes at follow-up?\",\"answer\":\"At 12 months, PET-CT showed no recurrence or metastasis, pain improved, wrist motion was maintained, and functional scores were favorable (Mayo Wrist Score 85 and DASH 8.3).\"}]","Recurrent Giant Cell Tumor of the Carpal Bones in an Adult Male - A Rare Case Report and Literature Review | PDF",1790731440,13]