Presentation
Right hip pain after a fall.
Patient Data
Minimally displaced basicervical right hip fracture with destruction right proximal femur. Additional lytic lesion extends from the anterior superior iliac spine to the anterior inferior iliac spine.
Confirms minimally displaced basicervical right hip fracture with mild varus angulation and destruction right proximal femur. Multiple other lytic lesion are present.
Bone scan shows multiple areas of increased uptake consistent with metastatic disease to bone.
Biopsy showed that the source of the bone metastses was the prostate gland
Case Discussion
This basicervical femoral neck fracture occurred in an area partially destroyed by metastatic disease, therefore it is a pathologic fracture. The biopsy indicated that the source was the prostate gland: the vast majority of skeletal metastases due to prostate cancer are sclerotic, not lytic as in this case.
Unable to process the form. Check for errors and try again.