Humerus metastasis from renal cell carcinoma with pathological fracture

Case contributed by Dr Lawrence Oh

Presentation

Right shoulder pain

Patient Data

Age: 70 years
Gender: Male

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. 

X-ray

Patient represented to the emergency department after 3 days with worsening of his right shoulder pain

The x-ray subsequently demonstrates that there is a oblique pathological fracture across the proximal humeral shaft.

X-ray

Patient then went on to have open reduction and internal fixation of right 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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Case information

rID: 28870
Published: 18th Apr 2014
Last edited: 1st Dec 2019
Inclusion in quiz mode: Included

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