Healing of pathological fracture in a case of multiple myeloma

Description

A man aged 41 years presented to us with a lytic lesion in the proximal humerus and developed a pathological fracture which was managed with nailing (figure 1). He was eventually diagnosed with multiple myeloma.1 This patient underwent autologous bone marrow transplant. He was also given chemotherapy using a regimen of bortezomib, lenalidomide and dexamethasone. The humeral fracture showed sound union at the follow-up of 1.5 years with the lesion completely healed (figure 2).

Figure 1

The immediate postoperative radiograph of the fracture showing the internal fixation of the pathological fracture with a locked intramedullary nail.

Figure 2

One-and-a-half-year follow-up radiograph of the same patient showing sound union with complete resolution of the pathological lesion.

The humerus is a common site for metastatic bone disease and the common primaries include breast,...

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