Pathologic Fracture X Ray

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Pathological fractures  are fractures that occur in abnormal bone. Although the term can be used in the setting of a generalized metabolic bone disease, it is usually reserved for fractures through a focal abnormality. The abnormality may be malignant or non-malignant in nature.

High force is required to fracture a normal bone, but diseased bones may fracture as a result of low impact trauma. A fracture arising within abnormal bone is termed 'pathological.'

(1a-c) T1, T2, and fat-suppressed T2-weighted sagittal images, a (1d) T1-weighted axial image, and a (1e) fat-suppressed T1-weighted sagittal image following contrast administration

Most patients present with slowly progressive pain, with or without a mass. Symptoms arise when the lesion begins to destroy the cortex and irritate the periosteum or when the weakening of the bone caused by the tumor causes pain due to imminent pathologic fracture. Some giant cell tumors present with a pathologic fracture.


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