Reconstruction of the Proximal Aspect of the Radius After Desmoplastic Fibroma Resection: A Case Report

JBJS Case Connect. Jan-Mar 2019;9(1):e12. doi: 10.2106/JBJS.CC.18.00158.


Case: Desmoplastic fibromas are tumors of fibrous tissue that rarely are diagnosed. We present the case of a 27-year-old man who presented with pain of the forearm that was initially diagnosed as a muscle strain. A computed tomography-guided core biopsy revealed a desmoplastic fibroma. Consequently, the patient was treated with a resection of the proximal aspect of the radius followed by reconstruction with use of a vascularized fibular autograft.

Conclusion: At the 2-year follow-up, radiographs showed integration of the autograft; additionally, good results were noted with the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity and Physical Function Short Form T-score and the QuickDASH (an abbreviated version of the Disabilities of the Arm, Shoulder and Hand Score [DASH]) questionnaire, along with good range of motion.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Autografts / transplantation
  • Bone Neoplasms*
  • Fibroma, Desmoplastic*
  • Fibula / transplantation
  • Humans
  • Male
  • Radius* / diagnostic imaging
  • Radius* / pathology
  • Radius* / surgery
  • Reconstructive Surgical Procedures*