Pathological fracture of the humerus

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Painful, swollen left upper arm after falling at home.

Patient Data

Age: 75 years
Gender: Female

Displaced fracture of the proximal diaphysis of the humerus.  Underlying moth eaten appearance of the medullary bone with a wide zone of transition in keeping with an aggressive bone lesion.

Case Discussion

This is an excellent case to practice one's ability to describe a bone lesion and fracture, either verbally for an exam or in a written report form.

This was a pathology proven renal cell carcinoma metastasis.

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