A swelling and pulsating sensation in the wrist area may not only indicate an injury but can be a symptom of a tumour as well. In a recent case, a team of Orthopaedic doctors of Paras Hospitals in the city successfully treated a case of rare wrist tumour with a new, complex surgical procedure and saved the amputation of the limb, comprising by Dr. Arvind Mehra, Chief of Orthopedics and Trauma and Dr. Kandarp Vidhyarthi, Consultant, Department of Orthopedics and Trauma, Paras Hospitals, Gurgaon.
While playing badminton, 39-year-old Dwipen Krishnan Sarania, brother of an NSG personnel, suddenly felt stiffness in his wrist – the area was swelled and though it was not painful, he could feel a pulsating sensation. He consulted a doctor who conducted a biopsy and gave intravenous treatment treat the swelling. However, the patient’s brother, who is an NSG personnel, discussed the case with an Orthopaedic doctor of Paras Hospitals at the on-site OPD there who referred the case to Dr. Mehra as the tumor progressed from Grade I to Grade III.
“We conducted X-rays and CT scan in addition to the biopsy to diagnose the right condition of the patient. The results were shocking – it was a giant cell tumour, underneath the skin in muscle planes and has escalated from Grade 1 to Grade 3. This was a very serious development as it may lead to amputation of the limb and only a surgery could have prevented the tumour from spreading any further. We conducted a two-hour long, complex surgery termed ‘ENBLoc Excision of Distal Radius with Centralization of Ulna and Ulnocarpal Arthrodesis’ and removed the tumour with no further complications. We had to remove the radius bone near the wrist Because the tumor had destroyed the distal radius and dissected a piece of the ulna, a long bone in the forearm that stretches from the elbow to the Wrist Joint, to support the wrist. The surgery was complex as it comprised more than one processes but we could carry out with perfection due to meticulous planning and vast experience in similar cases. This was a very rare case due to its severity and such a complex tumour was treated with a new technique which could preserve the functionality of right hand. In the days to come, this is expected to give excellent results to the patient in a single surgery and in a cost-efficient manner,” said Dr. Arvind Mehra, Paras Hospitals, Gurgaon.
Dwipen Sarania was in hospital for three days and was discharged after satisfactory recovery. Correct advice and timely intervention saved him from amputation, doctors say.
Paras Hospitals Gurgaon is among the leading providers of treatment and care in the field of neurosciences, cardiology, orthopedics, nephrology, gastroenterology, and critical care in India.
