Pathological fracture of femur secondary to infected synovial sarcoma

Pathological fracture is not uncommon in musculoskeletal oncological surgical practice. When complicated by infection, it is both limb- threatening and life-threatening problem. Pathological fractures require urgent investigation, not urgent treatment. We present the case of a 75-year-old man who pr...

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Bibliographic Details
Published in:BMJ case reports 2012-11, Vol.2012, p.bcr2012007453
Main Authors: Murphy, Colin G, Treacy, Ann, Dudeney, Sean, O'Toole, Gary C
Format: Article
Language:English
Subjects:
Aged
Amputation
Anti-Bacterial Agents - therapeutic use
Antibiotics
Biopsy
Blood
Combined Modality Therapy
Europe (West)
External Fixators
Femoral Fractures - diagnosis
Femoral Fractures - pathology
Femoral Fractures - therapy
Femoral Neoplasms - diagnosis
Femoral Neoplasms - pathology
Femoral Neoplasms - therapy
Femur - pathology
Fractures
Fractures, Spontaneous - diagnosis
Fractures, Spontaneous - pathology
Fractures, Spontaneous - therapy
Humans
Infusions, Intravenous
Magnetic Resonance Imaging
Male
Metastasis
Neoplasm Invasiveness
Older people
Orthopedics
Pseudomonas Infections - diagnosis
Pseudomonas Infections - pathology
Pseudomonas Infections - therapy
Sarcoma
Sarcoma, Synovial - diagnosis
Sarcoma, Synovial - pathology
Sarcoma, Synovial - therapy
Staphylococcal Infections - diagnosis
Staphylococcal Infections - pathology
Staphylococcal Infections - therapy
Surgery
Unusual Association of Diseases/Symptoms
Urine
White
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Description
Summary:Pathological fracture is not uncommon in musculoskeletal oncological surgical practice. When complicated by infection, it is both limb- threatening and life-threatening problem. Pathological fractures require urgent investigation, not urgent treatment. We present the case of a 75-year-old man who presented with an infected sarcoma causing a pathological fracture of his right femur.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2012-007453