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Pathological subtrochanteric neck of femur fracture

Case contributed by Dr Henry Knipe

Presentation

Ambulating and patient heard "crack". Pain in right hip. Past history multiple myeloma.

Patient Data

Age: 65 years
Gender: Male

Right subtrochanteric pathological fracture. The fracture is posteriorly displaced and mildly impacted. The proximal fracture fragment is laterally angulated. Surrounding the fracture is a lytic lesion, which had been previously demonstrated as a myelomatous deposit.

Case Discussion

Pathological fracture refers to a fracture through an area of underlying abnormal bone.  Although in the vast majority of cases this is a underlying malignant lesion, such as a metastasis or myelomatous deposit, this need not always be the case.

Pathological fractures are a common complication of multiple myeloma

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Case information

rID: 25272
Published: 17th Oct 2013
Last edited: 24th Jan 2020
Inclusion in quiz mode: Included

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