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|Title:||Hypertrophic non-union of a pathological forearm fracture secondary to multiple myeloma : a case report|
Ashford, Robert U.
|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.|
|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 (http://creativecommons.org/licenses/by/2.0), 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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