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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 5, 736-738.
doi: 10.1302/0301-620X.85B5.13499  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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PENCIL-CORE GRANULOMA OF THE DISTAL RADIO-ULNAR JOINT: AN UNUSUAL PRESENTATION AS SOFT-TISSUE SARCOMA AFTER 45 YEARS

A. Kulkarni, MRCS, Research Fellow in Oncology1; D. C. Mangham, MRCPath, Consultant Histopathologist1; A M. Davies, FRCR, Consultant Radiologist1; R. J. Grimer, FRCS, Consultant Orthopaedic Oncologist1; S. R. Carter, FRCS, Consultant Orthopaedic Oncologist1; and R. M. Tillman, FRCS (Orth), FRCS Ed, Consultant Orthopaedic Oncologist1

1 The Royal Orthopaedic Hospital NHS Trust, Bristol Road South, North-field, Birmingham B31 2AP, UK.

Correspondence should be sent to Mr R. J. Grimer.

A case of pencil-gore granuloma occurring 45 years after the initial injury is described. The clinical and radiological presentation was suggestive of a soft-tissue sarcoma. The diagnosis was confirmed by biopsy, which also revealed foreign body fragments which, on spectometric analysis, had high concentrations of carbon and aluminium.






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