Paget disease with pathological fractures

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Bilateral hip pain, no trauma.

Patient Data

Age: 85 years
Gender: Male

Evidence of Paget disease of the bone in the right proximal femur and left hemipelvis. 

Transverse right femoral subtrochanteric fracture with varus angulation. 

Undisplaced transverse fractures of the left inferior pubic ramus anteriorly and posteriorly. There are some signs of bony healing suggesting these fractures of subacute.

Case Discussion

Acute and subacute pathological fractures of Pagetoid bone.

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