Affiliation:
1. Head of Orthopedics department Dr Ruth K M Pfau Civil Hospital Karachi Karachi Pakistan
2. Dow University of Health Sciences Karachi Pakistan
3. Dow Medical College Dr Ruth K M Pfau Civil Hospital Karachi Karachi Pakistan
4. Bukovinian State Medical University Chernivtsi Ukraine
Abstract
Key Clinical MessageChondrosarcoma, although rare in the distal radius, poses significant challenges. Early diagnosis through incisional biopsy is essential. Surgical resection with margin control and fibular grafting can be effective, but vigilant surveillance is crucial due to its aggressive nature. Metastasis demands consideration of additional interventions or palliative care.AbstractChondrosarcomas constitute a rarity in the upper limbs, and their occurrence in the distal radius is even rarer with only one case previously documented. We report a case of distal radius chondrosarcoma in a 35‐year‐old female patient who presented with pain and swelling in her left wrist. Following an initial examination, an incisional biopsy was performed, confirming the diagnosis of dedifferentiated chondrosarcoma. The patient underwent a marginal resection of the distal radius and first carpal with ipsilateral fibular and locking compression plate fixation. Unfortunately, despite the interventions, the patient experienced recurrent swelling and ultimately required below‐elbow amputation, followed by above elbow amputation due to metastasis. Unfortunately, the patient passed away due to recurrence and metastasis.