Pathological Fractures

According to the “rule of pairs” odd and unusual things often come in pairs. It has been a few years since I saw a pathological fracture and now I have two patients coming with it on the same week.

The two images above are, actually, images of the two different patients. The upper image shows a pathological fracture of the left clavicle due to multiple myeloma. The patient came to her physician complaining on a shoulder pain. There was no history of injury or trauma. Shoulder XR revealed clavicular pathological fracture. No surgical treatment was necessary.

The bottom image shows fracture of the distal femur due to…multiple myeloma. The patient came to the Emergency Room with an excruciating pain in the leg. This fracture will require rodding.