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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Okoro, Tosan Ashford, Robert U |
| Abstract | Skeletal lesions in multiple myeloma are predominantly lytic and when non-union of pathological fractures occur it is typically atrophic. We report a lady of 61 years of age with myeloma who presented with a pathological fracture through an ulnar myeloma deposit. The fracture was immobilised initially then irradiated. Nine months later she re-presented with marked forearm pain particularly on rotation. Radiographs demonstrated a hypertrophic non-union of a pathological fracture with a typical elephant's hoof appearance. The fracture was immobilised using an ulnar nail. Whilst non-unions in metastatic malignancy are typically atrophic, just occasionally hypertrophic non-unions can occur. Management principles remain the same with stabilisation of the entire bone and early mobilisation being appropriate. |
| Related Links | https://josr-online.biomedcentral.com/counter/pdf/10.1186/1749-799X-5-26.pdf |
| Ending Page | 4 |
| Page Count | 4 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| DOI | 10.1186/1749-799X-5-26 |
| Journal | Journal of Orthopaedic Surgery and Research |
| Issue Number | 1 |
| Volume Number | 5 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2010-04-21 |
| Access Restriction | Open |
| Subject Keyword | Orthopedics Surgical Orthopedics Multiple Myeloma Myeloma Visual Analogue Score Metastatic Malignancy Ulna Fracture |
| Content Type | Text |
| Resource Type | Case study |
| Subject | Surgery Orthopedics and Sports Medicine |
| Journal Impact Factor | 2.8/2023 |
| 5-Year Journal Impact Factor | 3/2023 |
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