Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive wrist pain, localized swelling, and restricted range of motion at the distal radius. Symptoms are insidious in onset, non-radiating, and exacerbated by activity. No history of acute trauma. Denies constitutional symptoms such as fever or weight loss.
Clinical Examination Findings
Inspection reveals a palpable, firm, non-tender mass at the distal radius with associated soft tissue swelling. Palpation demonstrates bony expansion and localized tenderness. Wrist range of motion is limited in flexion/extension and ulnar/radial deviation. Neurovascular status is intact distally with normal capillary refill and sensation.
Treatment Protocol
Recommended management includes surgical curettage with high-speed burring and adjuvant therapy (e.g., phenol, cryotherapy, or cementation with PMMA) to reduce recurrence risk. In cases of extensive cortical destruction, en bloc resection and reconstruction with autograft or allograft may be required. Post-operative immobilization followed by physical therapy for range of motion restoration.