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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Adamantinoma de Cúbito Proximal

Liam H Wong1, Rosanna Wustrack1, Nicolas Lee1

  • 1Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA.

Journal of hand surgery global online
|December 24, 2025
PubMed
Resumen

El adamantinoma, un tumor maligno raro, puede ocurrir en huesos largos. Este caso destaca su presentación inusual en el cúbito, inicialmente mal diagnosticado, que requirió cirugía de rescate.

Palabras clave:
AdamantinomaAntebrazo de un solo huesoDisplasia osteofibrosaProcedimiento de rescate de cúbitoAdamantinoma cubital

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Área de la Ciencia:

  • Oncología Ortopédica; Radiología Esquelética

Sus antecedentes:

  • El adamantinoma es un tumor óseo maligno raro, que afecta predominantemente a la tibia.; Puede ocurrir en otros huesos largos, aunque con menos frecuencia.; El diagnóstico preciso es crucial para un manejo adecuado.

Objetivo del estudio:

  • Informar un caso raro de adamantinoma en el cúbito proximal.; Discutir los desafíos diagnósticos y el tratamiento de esta presentación inusual.; Enfatizar la importancia de considerar el adamantinoma en los diagnósticos diferenciales de las lesiones de huesos largos.

Principales métodos:

  • Informe de caso de una paciente con una lesión en el cúbito proximal.; Revisión del diagnóstico inicial (displasia osteofibrosa) y tratamiento (fijación interna).; Descripción del diagnóstico posterior de adamantinoma en la edad adulta y tratamiento de rescate (procedimiento de antebrazo de un solo hueso).

Principales resultados:

  • La paciente inicialmente se presentó con una fractura patológica del cúbito proximal.; El diagnóstico inicial fue displasia osteofibrosa, tratada conservadoramente.; El diagnóstico posterior confirmó adamantinoma, lo que requirió un procedimiento de rescate.

Conclusiones:

  • El adamantinoma puede presentarse de forma atípica en el cúbito, lo que plantea desafíos diagnósticos.; El diagnóstico tardío puede conducir a escenarios de tratamiento complejos.; El procedimiento de antebrazo de un solo hueso puede ser una opción de rescate eficaz para el adamantinoma cubital.