Fracture of the lesser trochanter as a sign of undiagnosed tumor disease in adults
نویسندگان
چکیده
Isolated avulsion fractures of the pelvic ring are rare and occur predominantly in adolescent athletes. Isolated fractures of the lesser trochanter are reported to be pathognomic for tumor diseases in adults. We present a case of a female patient with an isolated avulsion of the lesser trochanter after treatment by her chiropractor. After staging examination, we determine the diagnosis of a left-sided carcinoma of the mamma. Additional imaging shows multiple metastases in liver, spine and pelvis. Palliative therapy has started over the course of time. We suggest, on suspicion of a malignant metastatic process, further investigation.
منابع مشابه
Isolated Spontaneous Atraumatic Avulsion of Lesser Trochanter of Femur-A Pathognomonic Sign of Malignancy in Adults? A Case Report and Review of Literature
Introduction Avulsion fractures of lesser trochanter (LT) of femur are generally seen following trauma with intertrochanteric or sub trochanteric fractures. Non-traumatic fractures of LT could oc-cur due to sudden violent contraction of the iliopsoas muscle that inserts on the LT; during vigorous exercise, or sudden pull involving flexion of hip. These are seen commonly in adolescents where the...
متن کاملUndiagnosed hypertension and diabetes among the elderly Adults in the Amirkola, North of Iran
Background: As populations of elderly grow, the prevalence of type 2 diabetes and hypertension increases. These diseases can be asymptomatic for a long time and cause irreversible damages to organs. Therefore the aim of this study was to evaluate the prevalence of undiagnosed hypertension and diabetes among the elderly in Amirkola. Methods: This is a descriptive/analytical cross-sectional stud...
متن کاملUse of Finite Element Analysis to Predict Type of Bone Fractures and Fracture Risks in Femur due to Osteoporosis
at neck region called as Trans cervical neck fracture. Third bone shows fracture that happens at intertrochanteric line of femur bone known as Intertrochanteric fracture. The fourth bone shows the fracture that happens at sub trochanteric region named as subtrochanteric fracture, Fracture that happens at greater trochanter region shown in fifth bone is known as fracture at greater trochanter, i...
متن کاملAvulsion fracture of the lesser trochanter: an unusual cause of hip pain in an adolescent.
Sports injuries involving the hip and groin are common. Special consideration must be given to musculoskeletal injuries in children and adolescents as their immature skeletons have growth plates that are relatively weaker than the tendons and ossified bone to which they connect. We present a case of an adolescent athlete with acute-onset groin pain who was found to have an avulsion fracture of ...
متن کاملDoes integrity of the lesser trochanter influence the surgical outcome of intertrochanteric fracture in elderly patients?
BACKGROUND Most surgeons do not fix the lesser trochanter when managing femoral intertrochanteric fractures with intramedullary nails. We have not found any published clinical studies on the relationship between the integrity of the lesser trochanter and surgical outcomes of intertrochanteric fractures treated with intramedullary nails. The purpose of this study was to evaluate the impact of th...
متن کامل