Pathological Fractures — Workup
Stage before biopsy: define lesion (X‑ray/MRI) and search for primaries (CT CAP, bone scan/PET). Adult common cause is metastasis (BLT KP) or myeloma; in children, benign lesions (UBC/ABC, fibrous dysplasia). Biopsy tract must align with planned incision; core biopsy preferred; avoid contaminating compartments. Stabilize impending/complete fractures with nails/plates ± cement; endoprosthesis for major destruction. Adjuvant systemic therapy and radiotherapy per histology; bisphosphonates/denosuma...
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Practised by MCQ
10What is the most common cause of pathological fractures in adults?
mcqWhich imaging modality is preferred for evaluating soft tissue and marrow involvement in suspected pathologica...
mcqIn the workup of a pathological fracture, what is the purpose of conducting a CT scan of the chest, abdomen, a...
mcqWhat is the recommended type of biopsy for suspected bone tumors in the context of a pathological fracture?
mcqWhich of the following is a common benign lesion that can cause pathological fractures in children?
mcqWhat is a key clinical feature that raises suspicion for an underlying neoplastic process in a patient with a...
mcqIn the management of a pathological fracture with significant bone destruction, which surgical intervention is...
mcqWhat type of lesion is indicated by a lytic bone lesion seen on X-ray?
mcqWhich of the following treatments may be indicated for metastatic bone disease associated with pathological fr...
mcqWhich of the following is NOT a common site for pathological fractures?