Osteosarcoma with pathological fracture
Fall in play park. Left shoulder pain and reduced range of movement.
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Sclerotic metaphyseal lesion with wide zone of transition, periosteal reaction and pathological fracture. Features of an aggressive lesion.
A young boy presented with a painful left shoulder after a fall.
A fall onto the shoulder has resulted in a pathological fracture.
Staging MR of the humerus confirmed it as a solitary lesion. Referral to the bone tumour service was made. Biopsy confirmed osteosarcoma. Chest CT confirmed multiple lung metastases.