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Case Reports   |    
Ewing Sarcoma of the Distal Part of the Thumb: Allograft Reconstruction to Preserve FunctionA Case Report
Khodamorad Jamshidi, MD1; Farid Najd Mazhar, MD1; Javad Moghimi, MD1
1 Department of Orthopaedic Oncology, Shafa Yahyaian Hospital, Tehran University of Medical Sciences, Baharestan Square, Tehran, Iran. E-mail address for K. Jamshidi: jamshidi_k@yahoo.com
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Investigation performed at the Department of Orthopaedic Oncology, Shafa Yahyaian Hospital, Tehran University of Medical Sciences, Tehran, Iran



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Sep 11;3(3):e88 1-6. doi: 10.2106/JBJS.CC.M.00084
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Extract

Ewing sarcoma (ES) is the second most common primary malignant bone tumor in childhood and adolescence after osteosarcoma1. It mainly affects the long bones and the pelvis2. Occasionally, the metacarpals are involved, and more rarely, the phalanges are affected3,4. Treatment for ES may include surgery, chemotherapy, radiation therapy, or a combination of these therapies. Amputation with adjuvant chemotherapy is the treatment of choice for the short tubular bones of the hand. Radiation therapy is not indicated when the digits are involved because of a high rate of complications5,6.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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