Pathologic fractures through nonossifying fibromas: is prophylactic treatment warranted?
Journal Article (Journal Article)
Twenty-two patients with large nonossifying fibromas (NOFs) in weight-bearing bones were studied to evaluate risk of pathologic fracture. Previous reports suggest an absolute size threshold for NOFs beyond which there is a reasonable chance of impending fracture. In this series, 13 (59%) large NOFs had not had pathologic fracture despite exceeding the previously established size threshold. Four of the patients had fractures of the long bone in which the NOF was located without the fracture involving the lesion. In the nine (41%) patients in whom pathologic fracture occurred, healing was uneventful after closed reduction and cast immobilization. Whereas absolute size parameters may be useful in predicting pathologic fracture rate, they do not imply a requirement for prophylactic curettage and bone grafting. The majority of patients with large NOFs can be monitored without surgical intervention, and fractures can be successfully managed with nonoperative treatment.
Full Text
Duke Authors
Cited Authors
- Easley, ME; Kneisl, JS
Published Date
- November 1997
Published In
Volume / Issue
- 17 / 6
Start / End Page
- 808 - 813
PubMed ID
- 9591988
Pubmed Central ID
- 9591988
International Standard Serial Number (ISSN)
- 0271-6798
Language
- eng
Conference Location
- United States