Osteoid Osteoma in the Proximal Humerus in a 52-Year-Old - A Case Report
Velitsikakis P A1, Oikonomopoulos L1, Perisynakis N1, Staikos N2,
Giovanidis G1
1Orthopaedic Department, General Hospital of Chalkida, Chalkida, Greece
2Emergency Department, General Hospital of Chalkida, Chalkida, Greece
*Corresponding Author: Velitsikakis Paraskevas-Asimakis (Orthopaedic
Department, General Hospital of Chalkida, Chalkida, Greece) ,Address: Korytsas 57,
Chalkida, Greece.
Received:
February 23, 2023; Published: March 18, 2023
Abstract
Introduction: The skeleton is the most common target of metastatic disease, after lungs and liver. Humerus is the third most common
location for a bone metastasis. Pathologic fractures occur as a response to the compromised physiology of the bones, which has
as a result poor mechanical properties due to the underlying lesion.
Methods and Materials: A 59year-old woman with diagnosed and
under treatment lung cancer arrived at the outpatient orthopaedic clinic due to chronic pain (three weeks) and inability to lift her
right arm. The onset of pain was gradual. Radiological tests showed a fracture in the proximal third of the humerus and a lytic lesion.
Results: The patient was treated with internal fixation with a locking plate, broad abrasion and ablation of the lytic lesion and cement
infusion. The patient was mobilized without limitations, other than avoidance of loading, post-operatively.
Conclusion: Pathological
fractures are a common complication of bone metastases. Life expectancy in patients with bone metastases has been extended due
to the progress in chemotherapy, radiotherapy, and other oncological therapies. At pathological fractures of the humeral shaft, the
abrasion of the lytic lesion and the infusion of cement, after internal fixation, creates a more stable fixation of the fracture and gives
the patient a better quality of life being able to use the arm. According to current bibliography, the use of PMMA limits the spread of
cancer cells.
Keywords: Pathologic Fracture, Internal Fixation, Cement Infusion
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