Background:

Glomus tumours of the hand are rare benign vascular tumours. The literature shows a limited number of case series with few patients treated over several years.

It has become standard practice in our unit to treat large giant cell tumours with intralesional curettage, burring, a locking plate and adjuvant liquid nitrogen & PMMA cementation. 24 patients have been treated in this fashion over the past 7 years. We have had 2 recurrences to date, both recent.

These 2 cases of large Campanacci type 2 & 3 giant cell tumour of the distal femur & proximal tibia, successfully treated with megaprosthetic replacement are reported. One patient had lung metastases, which appeared stable and were being closely monitored for progress. Histopathology had been reviewed and giant-cell rich osteosarcoma definitely excluded. Osteoclastic inhibitory chemotherapy was instituted 6 weeks post-op.

Introduction:

During the Christmas period a number of patients are admitted to the Chris Hani Baragwanath Academic Hospital (CHBAH) Hand Unit with explosive injuries to their hands caused by firecrackers. South African legislation restricts the sale and use of fireworks to adults, with a limitation being placed on the size of explosive and type of commercial outlet. Despite this an inordinate amount of explosive hand injuries are admitted over the festive season.