Title of article :
A Rare Case of Giant Cell Tumour of Bilateral Achilles Tendon Sheath - Reconstruction with Dual Tendon Transfer: A Case Report
Author/Authors :
P, Samal Department of Orthopaedic Surgery - Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital - Bhubaneswar - India , NC, Mohapatra Department of Orthopaedic - Sriram Chandra Bhanja Medical College and Hospital - Cuttack - India , J, Mishra Department of Orthopaedic Surgery - Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital - Bhubaneswar - India , A, Mylarappa Department of Orthopaedic Surgery - Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital - Bhubaneswar - India , P, Das Department of Pathology - Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital - Bhubaneswar - India
Abstract :
Giant cell tumour of tendon sheath is a benign soft tissue lesion most commonly found in the flexor aspect of hand and wrist. However, it is uncommon in foot and ankle and rare in
bilateral achilles tendon. We report a case of 17-year-old
female who presented with progressive enlargement of
bilateral achilles tendon for six months. MRI findings
showed that most of the tumour had intermediate to low
signal intensity. Histopathology confirmed the diagnosis of
giant cell tumour of tendon sheath. To help the patient regain
the strength of the achilles tendon and walking abilities, a
large area of tendon tumour was excised, followed by reconstruction with transfer of the peroneus brevis (PB) and posterior tibial (PT) tendon autograft. At two years followup, functional result was satisfactory.
Keywords :
giant cell tumour , achilles tendon , reconstruction , bilateral
Journal title :
Malaysian Orthopaedic Journal
