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Missed pathological femoral neck fracture undergoes spontaneous healing

Pathologic fractures are common complications of metastatic bone disease in patients with breast cancer. Fractures involving the proximal femur generally cause significant pain that is exacerbated by ambulation. Due to excessive stress on the weight-bearing hip joint, these fractures present a signi...

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Autores principales:	Adrian C. Kong, MS, Stephanie D. Zarate, PAC, Ana C. Belzarena, MD, MPH
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Pathological fracture bone metastases breast cancer Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/ddbacf3a7a0a4ac59868f12e15f5ce23
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spelling	oai:doaj.org-article:ddbacf3a7a0a4ac59868f12e15f5ce232021-11-30T04:15:04ZMissed pathological femoral neck fracture undergoes spontaneous healing1930-043310.1016/j.radcr.2021.10.002https://doaj.org/article/ddbacf3a7a0a4ac59868f12e15f5ce232022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007202https://doaj.org/toc/1930-0433Pathologic fractures are common complications of metastatic bone disease in patients with breast cancer. Fractures involving the proximal femur generally cause significant pain that is exacerbated by ambulation. Due to excessive stress on the weight-bearing hip joint, these fractures present a significant burden on the quality of life among patients. Here we describe a case of a 38-year-old female patient who was found to have a pathologic fracture of the proximal femur missed on imaging studies that underwent spontaneous union. Pathologic fractures rarely heal on their own, since a tumor at the fracture site interferes with bone healing and most fractures have to be managed with surgical intervention. Fractures can be missed on imaging studies in the setting of extensive metastatic disease. Physicians should be cognizant of this fact and maintain a high level of suspicion to recognize fractures with unusual presentations where patients may not present with the typical findings of acute onset of pain and inability to ambulate or bear weight.Adrian C. Kong, MSStephanie D. Zarate, PACAna C. Belzarena, MD, MPHElsevierarticlePathological fracturebone metastasesbreast cancerMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 72-76 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pathological fracture bone metastases breast cancer Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Pathological fracture bone metastases breast cancer Medical physics. Medical radiology. Nuclear medicine R895-920 Adrian C. Kong, MS Stephanie D. Zarate, PAC Ana C. Belzarena, MD, MPH Missed pathological femoral neck fracture undergoes spontaneous healing
description	Pathologic fractures are common complications of metastatic bone disease in patients with breast cancer. Fractures involving the proximal femur generally cause significant pain that is exacerbated by ambulation. Due to excessive stress on the weight-bearing hip joint, these fractures present a significant burden on the quality of life among patients. Here we describe a case of a 38-year-old female patient who was found to have a pathologic fracture of the proximal femur missed on imaging studies that underwent spontaneous union. Pathologic fractures rarely heal on their own, since a tumor at the fracture site interferes with bone healing and most fractures have to be managed with surgical intervention. Fractures can be missed on imaging studies in the setting of extensive metastatic disease. Physicians should be cognizant of this fact and maintain a high level of suspicion to recognize fractures with unusual presentations where patients may not present with the typical findings of acute onset of pain and inability to ambulate or bear weight.
format	article
author	Adrian C. Kong, MS Stephanie D. Zarate, PAC Ana C. Belzarena, MD, MPH
author_facet	Adrian C. Kong, MS Stephanie D. Zarate, PAC Ana C. Belzarena, MD, MPH
author_sort	Adrian C. Kong, MS
title	Missed pathological femoral neck fracture undergoes spontaneous healing
title_short	Missed pathological femoral neck fracture undergoes spontaneous healing
title_full	Missed pathological femoral neck fracture undergoes spontaneous healing
title_fullStr	Missed pathological femoral neck fracture undergoes spontaneous healing
title_full_unstemmed	Missed pathological femoral neck fracture undergoes spontaneous healing
title_sort	missed pathological femoral neck fracture undergoes spontaneous healing
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/ddbacf3a7a0a4ac59868f12e15f5ce23
work_keys_str_mv	AT adrianckongms missedpathologicalfemoralneckfractureundergoesspontaneoushealing AT stephaniedzaratepac missedpathologicalfemoralneckfractureundergoesspontaneoushealing AT anacbelzarenamdmph missedpathologicalfemoralneckfractureundergoesspontaneoushealing
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Missed pathological femoral neck fracture undergoes spontaneous healing

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