Pathological fracture
نویسنده
چکیده
Disclosure. Author has no conflict of interests, and the work was not supported or funded by any drug company. Dr. Fahdah Alokaily is a member of the Editorial Team, and was therefore excluded from any final editorial decisions regarding this paper. Notice: Authors are encouraged to submit quizzes for possible publication in the Journal. These may be in any specialty, and should approximately follow the format used here (maximum of 2 figures). A 42-year-old Saudi lady not known to have any medical illness presented to the emergency room complaining of severe pain in the left hip after a minor trauma. She gave a history of left hip and upper thigh pain mild, dull, aching pain, especially on prolong standing, walking, and climbing stairs. Clinical examination revealed ecchymosis in the left hip and upper thigh with limitation of movement of the left leg due to pain. Laboratory investigation revealed normal full blood count, erythrocyte sedimentation rate, C-reactive protein, calcium, phosphate, urate, urea, and electrolytes and liver function tests but alkaline phosphatase (ALP) was elevated at 250 u/L (normal value: 35-104 u/L), and a slightly elevated parathyroid hormone (85) (normal value: 15-65). Plain x-ray was carried out (Figure 1). The fracture was fixed surgically and bone biopsy showed thickened with slightly disorganized lamellar bone with osteoclastic resorption. Bone marrow was partially replaced by fibrovascular stroma. No tumor seen and changes are consistent with those of Paget disease. Figure 1-An image showing the pathological fracture of the upper left femur.
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Evaluation of the etiology of the etiology of the pathological fracture in patients admitted to Imam khomeini hospital in Urmia city
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عنوان ژورنال:
دوره 36 شماره
صفحات -
تاریخ انتشار 2015