Physical findings demarking pathologic somatovisceral reflex activity and fascial strain patterns may lead the osteopathic physician to diagnoses that are masked within the initial presentation of a patient. The authors present a case report that demonstrates the use of osteopathic principles in the diagnosis of a chronic acetabular fracture and acetabular labral tear in a 19-year-old man. The ...

Percutaneous vertebroplasty has gained widespread popularity and demonstrated clinical efficacy in the treatment of spinal osteoporotic compression fractures and pathologic osteolytic lesions. Despite its rapid pain relief and safety, this minimally invasive intervention has exhibited some rare complications over the past decade. In this case study, we describe a patient with an uncommon compli...

Background: Compression fractures are often associated with lower energy trauma and may occur in the setting of abnormal bone health genetic disorders endocrine disorders, neoplastic disease, infection, inflammatory disorders. There is no significant series literature describing prevalence or etiology pathologic pediatric compression fractures. Methods: IRB-approved retrospective study was perf...

Textiloma is defined as a tumor composed of cotton matrix surrounded by granulomatous reaction. It occurs following operations in which surgical sponges were inadvertently left behind. We describe a case of a 59-year-old man presenting with a pathologic fracture of the proximal left femur. The results of the biopsy, unlike diagnoses suggested by radiographs, CT scan and magnetic resonance imagi...

We report a case of a 55-year-old woman with chronic renal failure and secondary tumoral calcinosis with rare intraosseous penetration of the humerus. Typical lobulated calcifications with associated layering "milk of calcium" were present about the right shoulder and elbow on conventional radiographs, computed tomography images and magnetic resonance images. Rare appearance of cortical destruc...

Advances made during the last 35 years have improved our understanding of the mechanisms of steroid hormone action on bone and how physiologic, pathologic, or iatrogenic changes in hormone levels can lead to increased fracture risk. Estrogens, androgens, and glucocorticoids alter the cellular composition of bone by regulating the supply and lifespan of osteoclasts and osteoblasts. Additionally,...

We describe two patients with a new clinical pathologic syndrome of diffuse osteosclerosis in association with hairy cell leukemia. In both patients bone marrow biopsies could not be obtained due to extremely hard bones and inability to insert the biopsy needle; neither patient had a history of bony pain or fracture. The osteosclerotic process in one patient stabilized after successful treatmen...

Title: Bone pathologic fracture revealing an unusual association : Coexistence of Langerhans cell histiocytosis with Rosai-Dorfman disease Case report and a literature review Authors: Boubacar Efared ([email protected]) Asmae Mazti ([email protected]) Badarou Chaibou ([email protected]) Gabrielle Atsame-Ebang ([email protected]) Ibrahim Sory Sidibé ([email protected]...