Ewing sarcoma of the first metacarpal: a rare case report with thumb-sparing resection and fibular graft reconstruction - Takeaways - MDSpire

Ewing sarcoma of the first metacarpal: a rare case report with thumb-sparing resection and fibular graft reconstruction

  • By

  • Aouinti Mohamed Nizar

  • Sahar Ben Ammar

  • Walid Saied

  • Hajer Ben Mansour

  • Ahmed Hamdi

  • Henda Rais

  • Sami Bouchoucha

  • Rim Boussetta

  • April 20, 2026

  • 0 min

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  • 1

    Ewing sarcoma is a rare malignant bone tumor in children, with first metacarpal involvement being exceptionally uncommon.

  • 2

    An 11-year-old boy with Ewing sarcoma of the first metacarpal underwent thumb-sparing resection and reconstruction using a fibular autograft.

  • 3

    Despite a poor histological response, the surgical margins were tumor-free, and the patient received adjuvant chemotherapy and radiotherapy.

  • 4

    At one-year follow-up, there was no local recurrence, and the patient achieved satisfactory functional outcomes of the dominant hand.

  • 5

    This case highlights that limb-sparing surgery with fibular grafts can be a viable option for pediatric patients with Ewing sarcoma.

Original Source(s)

Ewing sarcoma of the first metacarpal: a rare case report with thumb-sparing resection and fibular graft reconstruction

  • by Aouinti Mohamed Nizar, Sahar Ben Ammar, Walid Saied, Hajer Ben Mansour, Ahmed Hamdi, Henda Rais, Sami Bouchoucha, Rim Boussetta

  • April 20, 2026

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