case_images: PMC4549531_01
case_images: Swelling at the time of presentation.
case_images: CRIM2015-429309.001.jpg
case_images: PMC4549531_01_CRIM2015-429309.001.jpg
case_images: fig1
case_images: A 30-year-old male presented with painless swelling around his right elbow since 4 months (Figure 1).
case_images: X-ray at the time of presentation.
case_images: CRIM2015-429309.002.jpg
case_images: PMC4549531_01_CRIM2015-429309.002.jpg
case_images: fig2
case_images: X-ray showed a lytic lesion involving entire proximal ulna with soap bubble appearance with destruction of articular surface (Figure 2).
case_images: Peroperative picture of tumour.
case_images: CRIM2015-429309.003.jpg
case_images: PMC4549531_01_CRIM2015-429309.003.jpg
case_images: fig3
case_images: Under general anaesthesia, tumour was exposed through posterior approach to elbow (Figure 3).
case_images: Excised tumour.
case_images: CRIM2015-429309.004.jpg
case_images: PMC4549531_01_CRIM2015-429309.004.jpg
case_images: fig4
case_images: Proximal ulna with tumour and 2 cm of normal bone was excised (Figure 4).
case_images: Prepared graft.
case_images: CRIM2015-429309.005.jpg
case_images: PMC4549531_01_CRIM2015-429309.005.jpg
case_images: fig5
case_images: Head of the fibula was shaped to match the olecranon process of ulna and tensor fascia lata was covered over fibular head to act as articular surface (Figure 5).
case_images: Histopathology showing giant cell in cluster.
case_images: CRIM2015-429309.006.jpg
case_images: PMC4549531_01_CRIM2015-429309.006.jpg
case_images: fig6
case_images: Specimen was sent for histopathological examination which confirmed the diagnosis of giant cell tumour (Figure 6).
case_images: Follow-up X-ray after 2 years.
case_images: CRIM2015-429309.007.jpg
case_images: PMC4549531_01_CRIM2015-429309.007.jpg
case_images: fig7
case_images: At the end of 2 years, patient is pain-free and has a stable and functional elbow (Figure 7).