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Hypertrophic non-union of a pathological forearm fracture secondary to multiple myeloma : a case report

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posted on 31.01.2014, 11:29 by Tosan Okoro, Robert U. Ashford
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.

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Citation

Journal of Orthopaedic Surgery and Research, 2010, 5 : 26

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VoR (Version of Record)

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Journal of Orthopaedic Surgery and Research

Publisher

BioMed Central Ltd

issn

1749-799X

eissn

1749-799X

Copyright date

2010

Available date

31/01/2014

Publisher version

http://www.josr-online.com/content/5/1/26

Language

en

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