Humeral Shaft Fracture With Placement of an Intramedullary Nail Through an Unrecognized Sarcoma.
Publication
, Journal Article
Cullen, MM; Okwumabua, E; Flamant, EM; Ferlauto, HR; Brigman, BE; Eward, WC
Published in: J Am Acad Orthop Surg Glob Res Rev
February 19, 2021
CASE: A 72-year-old man underwent intramedullary nailing of a humeral diaphysis fracture with passage through an unrecognized pathologic fracture. Four months later, a biopsy of a soft-tissue mass in the arm revealed pleomorphic undifferentiated sarcoma. Only after local recurrence and forequarter amputation was the story of a pathologic fracture through undifferentiated pleomorphic sarcomas of bone clear. The patient developed metastatic disease and died after 2 years postoperatively. DISCUSSION: Orthopaedic surgeons should consider sarcoma when assessing patients with fractures of unknown etiology and an inappropriate mechanism because the placement of an intramedullary device through a sarcoma of bone has consequences.
Duke Scholars
Published In
J Am Acad Orthop Surg Glob Res Rev
DOI
EISSN
2474-7661
Publication Date
February 19, 2021
Volume
5
Issue
2
Location
United States
Related Subject Headings
- Sarcoma
- Neoplasm Recurrence, Local
- Male
- Humerus
- Humeral Fractures
- Humans
- Fracture Fixation, Intramedullary
- Bone Nails
- Aged
Citation
APA
Chicago
ICMJE
MLA
NLM
Cullen, M. M., Okwumabua, E., Flamant, E. M., Ferlauto, H. R., Brigman, B. E., & Eward, W. C. (2021). Humeral Shaft Fracture With Placement of an Intramedullary Nail Through an Unrecognized Sarcoma. J Am Acad Orthop Surg Glob Res Rev, 5(2). https://doi.org/10.5435/JAAOSGlobal-D-20-00142
Cullen, Mark M., Ebubechi Okwumabua, Etienne M. Flamant, Harrison R. Ferlauto, Brian E. Brigman, and William C. Eward. “Humeral Shaft Fracture With Placement of an Intramedullary Nail Through an Unrecognized Sarcoma.” J Am Acad Orthop Surg Glob Res Rev 5, no. 2 (February 19, 2021). https://doi.org/10.5435/JAAOSGlobal-D-20-00142.
Cullen MM, Okwumabua E, Flamant EM, Ferlauto HR, Brigman BE, Eward WC. Humeral Shaft Fracture With Placement of an Intramedullary Nail Through an Unrecognized Sarcoma. J Am Acad Orthop Surg Glob Res Rev. 2021 Feb 19;5(2).
Cullen, Mark M., et al. “Humeral Shaft Fracture With Placement of an Intramedullary Nail Through an Unrecognized Sarcoma.” J Am Acad Orthop Surg Glob Res Rev, vol. 5, no. 2, Feb. 2021. Pubmed, doi:10.5435/JAAOSGlobal-D-20-00142.
Cullen MM, Okwumabua E, Flamant EM, Ferlauto HR, Brigman BE, Eward WC. Humeral Shaft Fracture With Placement of an Intramedullary Nail Through an Unrecognized Sarcoma. J Am Acad Orthop Surg Glob Res Rev. 2021 Feb 19;5(2).
Published In
J Am Acad Orthop Surg Glob Res Rev
DOI
EISSN
2474-7661
Publication Date
February 19, 2021
Volume
5
Issue
2
Location
United States
Related Subject Headings
- Sarcoma
- Neoplasm Recurrence, Local
- Male
- Humerus
- Humeral Fractures
- Humans
- Fracture Fixation, Intramedullary
- Bone Nails
- Aged