Humerus metastasis from renal cell carcinoma with pathological fracture
Presentation
Right shoulder pain
Patient Data
Initial imaging
This x-ray demonstrates an ill-defined lucency with mottled appearence in the right proximal humeral shaft. Adjacent periosteal reaction and thinning of the overlying cortex are also noted. These appearences suggestive of bone metastasis.
Patient represented to the...
Patient represented to the emergency department after 3 days with worsening of his Rt shoulder pain
The x-ray subsequently demonstrates that there is a oblique pathological fracture across the proximal humeral shaft.
Patient then went on to...
Patient then went on to have open reduction & internal fixation of Rt humerus
An intramedullary rod is noted transversing the pathological fracture through the lucent lesion in proximal humeral shaft. Alignment is anatomical.
Case Discussion
Patient has history of renal cell carcinoma.
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