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The Journal of Bone and Joint Surgery 83:586 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.


Case Report

Calcifying Aponeurotic Fibroma of the Hand

A Case Report

Ralph S. DeSimone, MD and Christopher J. Zielinski, MD

Investigation performed at the Virginia Orthopaedic Center and the Culpeper Regional Hospital, Culpeper, Virginia
Ralph S. DeSimone, MD Department of Pathology, Culpeper Regional Hospital, Culpeper, VA 22701.
Christopher J. Zielinski, MD Virginia Orthopaedic Center, P.O. Box 5005, Culpeper, VA 22701. E-mail address: cmziel@erols.com.
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


    Introduction
 
Eighty cases of calcifying aponeurotic fibroma have been reported in the literature1 since this entity was first described, in 1953, by Keasbey2, who called it calcifying juvenil­e aponeurotic fibroma. We report our experience in treating this type of tumor in the hand of a child, and we review the terms that have been used to describe it in the literature.


    Case Report
 
In 1995, a two-year-old girl with no history of any medical problems presented with a mass on the volar radial aspect of the right thumb at the level of the metacarpophalangeal joint and extending onto the thenar eminence. The family had just recently noticed the mass. We observed normal motion of all of the thumb joints, with normal active function of the extensor pollicis longus and the flexor pollicis longus. There was no triggering, and the patient appeared to use the hand normally. The mass was mobile and . . . [Full Text of this Article]


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