Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/28555
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
Links: http://www.josr-online.com/content/5/1/26
http://hdl.handle.net/2381/28555
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 (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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