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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 7, 1000-1003.
doi: 10.1302/0301-620X.84B7.13115  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Giant-cell tumour of the tendon sheath in the foot and ankle

C. L. M. H. Gibbons, FRCS, Consultant Orthopaedic Surgeon; H. A. Khwaja, MB BCh, Surgical Research Fellow, Vascular Surgery; A. S. Cole, FRCS, Consultant Orthopaedic Surgeon; and P. H. Cooke, FRCS, Consultant Orthopaedic Surgeon

Department of Orthopaedic Surgery

N. A. Athanasou, Professor and Consultant in Orthopaedic Pathology

Department of Pathology Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK.

Correspondence should be sent to Professor N. A. Athanasou.

Giant-cell tumour of the tendon sheath (GCT-TS) is a benign solitary tumour which usually arises in the limbs. It occurs most often in the hand where local recurrence after excision has been reported in up to 45% of cases. It is less common in the foot where the biological behaviour and risk of local recurrence have not been defined. We have studied 17 cases of GCT-TS of the foot and ankle in which treatment was by excision. Fifteen presented as a solitary, painless, slow-growing soft-tissue swelling. One lesion was associated with sensory deficit of a digital nerve and one with pain on walking. Thirteen cases originated from the periarticular tendon-sheath complex of the small joints of the toes and four from the capsule or long tendons of the ankle. A correct preoperative diagnosis was made in only three cases. MRI proved to be the most useful preoperative investigation as GCT-TS has a characteristic appearance which allows planned local excision to be carried out. None of the patients with histologically confirmed GCT-TS required further surgery. There was no local recurrence in 15 patients who were available for follow-up at a mean of 85 months.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General