Cases reported "Fractures, Spontaneous"

Filter by keywords:



Filtering documents. Please wait...

1/12. Fine-needle aspiration biopsy of solid aneurysmal bone cyst in the humerus.

    We report the fine-needle aspiration biopsy (FNAB) cytology findings of a solid aneurysmal bone cyst in the left humerus of a 69-yr-old woman. Radiographically, the lesion showed an extensive, relatively well-defined osteolysis in the diaphysis, with a pathologic fracture. FNAB smears of the lesion consisted of benign, mononuclear cells and numerous osteoclast-like multinucleated giant cells. Some clusters of the mononuclear cells were closely associated with dense, homogeneous, extracellular, matrix material. To our knowledge, the FNAB features of solid ABC of the long bones have not been described previously in the English-language literature. The cytologic features are indistinguishable from those of giant cell tumors of bone and brown tumors of hyperparathyroidism.
- - - - - - - - - -
ranking = 1
keywords = osteolysis
(Clic here for more details about this article)

2/12. Gorham disease: an intraoperative case study.

    Gorham disease is a rare chronic disorder that is characterized by the abnormal proliferation of thin-walled capillaries and small lymphatic vessels that results in the massive osteolysis of adjacent bone. Clinical manifestations are determined by the area of involvement, which may include the chest and ribs. The case presented involves a 47-year-old man with Gorham disease complicated by unilateral chylothorax who was treated with thoracic duct ligation. The anesthetic implications associated with Gorham disease are discussed, and nonsurgical primary and adjunctive treatments for chylothorax are summarized.
- - - - - - - - - -
ranking = 1
keywords = osteolysis
(Clic here for more details about this article)

3/12. Massive osteolysis of the femur (Gorham's disease): a case report and review of the literature.

    A case of Gorham's disease involving the proximal femur of a 12-year-old girl is presented. Although Gorham's disease is rare and has benign histologic characteristics, in this patient it took an aggressive clinical course that resulted in severe morbidity. diagnosis is difficult to establish; almost all investigative approaches provide only indirect evidence of the pathology. A high index of suspicion and open biopsy performed soon after presentation will establish diagnosis. Treatment modalities may be more effective if applied earlier in the disease process, especially as the osteolytic process appears to escalate after pathologic fractures, which occur frequently in this disorder.
- - - - - - - - - -
ranking = 4
keywords = osteolysis
(Clic here for more details about this article)

4/12. Angiomatous involvement of an extremity. A spectrum of syndromes.

    Congenital diffuse hemangiomatous involvement of the entire left thigh and knee joint in a 12-year-old girl was complicated by a Kasabach-Merrit type of consumptive coagulopathy. Repeated pathologic fractures of the left femur resulted in a nonunion. She also had a progressively increasing leg-length discrepancy, a stiff contracted knee, and leg atrophy distal to the knee. She was misdiagnosed originally as a Klippel-Trenauney syndrome, the progress of which is usually self-limited progression and involution. Despite steroid treatment, femoral artery banding, and intramedullary fixation of her femur, the hemangioma caused progressive debilitation of her left lower limb. At age nine, nonunion progressed to marked osteolysis and was treated by a through-knee amputation. A review of the literature revealed much confusion about multiple syndromes associated with angiomatous involvement of the lower limb. Prognostically, the depth and extent of the lesion were the most significant characteristics. This is well illustrated in this long-term follow-up study showing diffuse deep involvement that led to eventual amputation. Furthermore, this patient presents a multitude of complications developing from large angiomas.
- - - - - - - - - -
ranking = 1
keywords = osteolysis
(Clic here for more details about this article)

5/12. Massive osteolysis. A review of seven cases.

    Seven cases of massive osteolysis are presented. The aetiology of this disease is as yet unknown; neither age nor sex seems to be a factor in its incidence, nor are standard bone grafts or radiotherapy successful methods of treatment. However, in this series, operation produced a satisfactory outcome for five patients at a mean follow-up of 17 years; in three of these patients a custom-built prosthesis was inserted, and in one a conventional bone graft was combined with intramedullary nailing.
- - - - - - - - - -
ranking = 5
keywords = osteolysis
(Clic here for more details about this article)

6/12. atrophy of the mandible: reconstruction following fracture.

    A rational approach to the management of spontaneous fracture of the severely atrophie mandible is illustrated by means of a case report. A study of the literature reveals that some confusion exists concerning the terms "atrophy" and "osteolysis", and an attempt is made to distinguish between them.
- - - - - - - - - -
ranking = 1
keywords = osteolysis
(Clic here for more details about this article)

7/12. Hyperbaric oxygen treatment of osteoradionecrosis of the mandible with repeated pathologic fracture. Report of a case.

    Treatment of patients with osteoradionecrosis of the mandible with a pathologic fracture consists in almost all cases of a continuity resection of the mandible. This leads to functional and esthetic problems that can only be solved by often extensive surgery. In this case report we present a 38-year-old woman who developed osteoradionecrosis of the mandible with a pathologic fracture 1 1/2 years after combined surgical and radiation therapy of an adenocarcinoma of the right parotid gland. The patient had a subcondylar pathologic fracture together with osteolysis in the right mandibular body, normally an indication for partial resection of the mandible. Because of the absence of denuded bone, fistulation, and the poor quality of the surrounding soft tissues, a more conservative approach was chosen. Treatment consisted of hyperbaric oxygen and dental extractions with alveolectomy with the patient under local anesthesia. During follow-up, a second pathologic fracture occurred in the region of the right first and second molar. No additional treatment was given. Six and one-half years after the initial treatment and 5 1/2 years after the last fracture, the patient is free of complaints, the fractures have healed and both esthetic and functional results are good.
- - - - - - - - - -
ranking = 1
keywords = osteolysis
(Clic here for more details about this article)

8/12. Severe osteopenia in congenital erythropoietic porphyria.

    Congenital erythropoietic porphyria is a rare disorder of porphyrin metabolism. The authors describe a 15-year-old boy in whom the radiologic manifestations of this disorder included the known features of osteopenia, acro-osteolysis, soft-tissue calcifications and widening of the diploic space, as well as the previously unreported findings of severe vertebral compression fractures, thoracic kyphosis, and "salt and pepper" skull.
- - - - - - - - - -
ranking = 1
keywords = osteolysis
(Clic here for more details about this article)

9/12. Massive osteolysis after ceramic on ceramic total hip arthroplasty. A case report.

    The case of a 66-year-old woman who sustained a pathologic femur fracture secondary to extensive osteolysis distal to a pressfit femoral prosthesis with a ceramic on ceramic bearing surface is reported. The femoral and acetabular bearing surfaces showed signs of visible wear, although the stem showed little evidence of burnishing. Material curetted from the femoral medullary canal in the area of the osteolysis contained extensive amounts of histiocytes and foreign body debris. Qualitative spectrographic analysis of the curetted material showed levels of aluminum to be approximately 10 times more prevalent than either cobalt or chromium. Although there is little understanding of the cellular reactions to ceramic debris products, the extensive osteolysis seen in this patient suggests that alumina ceramic bearings may not be as biologically inert as initially perceived.
- - - - - - - - - -
ranking = 7
keywords = osteolysis
(Clic here for more details about this article)

10/12. Gorham massive osteolysis.

    Gorham syndrome (massive osteolysis) is a very rare tumour-like lesion characterized by progressive osteolysis. The diagnosis must be confirmed by the microscopic finding of intramedullary angioma-like vascular structures. We report a case of a 15-year-old boy with a pathological fracture in his left humerus. Imaging modalities such as magnetic resonance imaging, computed tomography, angiography and bone scintigraphy failed to disclose to tumorous lesion that filled a cavity in the left humerus. After observing the boy's progress for 6 months, a temporary diagnosis of Gorham syndrome was made, and surgical treatment was chosen. After resection of the left humeral head and the proximal one-quarter of the humerus, thorough curettage was performed in the distal humerus and an intramedullary artificial humeral head fixed with adequate success. Pathological examination of the specimen revealed intramedullary haemangioma of the humerus.
- - - - - - - - - -
ranking = 6
keywords = osteolysis
(Clic here for more details about this article)
| Next ->


Leave a message about 'Fractures, Spontaneous'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.