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