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Title: Hypertrophic non-union of a pathological forearm fracture secondary to multiple myeloma : a case report
Authors: Okoro, Tosan
Ashford, Robert U.
First Published: 21-Apr-2010
Publisher: BioMed Central Ltd
Citation: Journal of Orthopaedic Surgery and Research, 2010, 5 : 26
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.
DOI Link: 10.1186/1749-799X-5-26
ISSN: 1749-799X
eISSN: 1749-799X
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2010 Okoro and Ashford ; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Appears in Collections:Published Articles, College of Medicine, Biological Sciences and Psychology

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