Year: 2024 | Month: August | Volume: 14 | Issue: 8 | Pages: 296-301
DOI: https://doi.org/10.52403/ijhsr.20240833
Comprehensive Physiotherapy Management of Giant Cell Tumour - A Case Report
Avantika Arora1, Monika Virk2, Sunidhi Rana3, Gaytri Kankerwal4
1,3,4Assistant Professor, Prem Physiotherapy and Rehabilitation College, Panipat, Haryana, India
2BPT Student, Prem Physiotherapy and Rehabilitation College, Panipat, Haryana, India
Corresponding Author: Avantika Arora
ABSTRACT
Background: A 21-year-old female student from Patiala, Punjab currently residing in Canada and working at Tim Hortons, presented with a two-month history of persistent, sharp pain in her left knee, making it difficult to bend.
Case Presentation: The patient is 154 cm tall, weighing 58 kg and with a BMI of 24.4 kg/m², had a fall in August eight months prior to presentation. Initial consultation with an orthopedician a week post-fall led to analgesics and an X-ray recommendation. An X-ray on October 15th in Canada revealed a concerning ill-defined lytic lesion within the distal femoral metaphysis, suggestive of a neoplastic or malignant process. Returning to India for further treatment, a CT scan at the AlIMS confirmed a grade 3 giant cell tumour diagnosis. On November 25th, a plaster cast was applied and a biopsy on December 2nd confirmed the diagnosis, leading to a surgical recommendation.
Treatment and Outcome: Chemotherapy infusion commenced on January 13th and continued until March. Surgery involving curettage and Titanium plating was performed on April 4th, with the limb placed in a plaster cast removed on April 24th. Post-surgery, an above-knee brace was provided and physiotherapy management was advised. On May 6th, visited Dr. Prem Cancer Hospital, Physiotherapy OPD for ongoing physiotherapy management.
Conclusion: The patient journey from initial injury through diagnosis, treatment and post-surgical rehabilitation highlights the complexity of managing giant cell tumours and the importance of a multidisciplinary approach including orthopaedic, oncological and physiotherapeutic care.
Key words: Female, Young Adult, Titanium, Casts