Generalized polyostotic fibrous dysplasia with subtrochanteric fracture. A case report

Fibrous dysplasia affects principally bone, but it might comprise extraskeletal anomalies; bone is replaced by dysplastic fibrous tissue. It is classified accordingly to the number of affected bones, and its association to endocrine alterations in: monostotic, polyostotic and Albright’s disease. A congenital etiology is suggested. Pathologic fractures are the most frequently associated complications. We present a case with a subtrochanteric fracture caused by fibrous dysplasia, and a comprehensive review of diagnosis and treatment decision making. Differential diagnosis with multiple myeloma among others, and best treatment decision was made.

Key words:

fibrous dysplasia, fracture, femur.

REFERENCES

Greenspan: Tumores de huesos y articulaciones. 2da edición. Editorial Marbán, 2006: 205-45.
Tachdjian: Ortopedia pediátrica. 2da edición. Editorial Interamericana, 2002; (2): 1324-37.
Staheli: Ortopedia pediátrica. Edición original. Editorial Marbán, 2007: 348-65.
Campbell: Cirugía ortopédica; Campbell. 9na edición. Editorial Panamericana, 2005: 720-6.
Robbins: Patología humana; Robbins. 4ta edición. Editorial Interamericana, 1996: 721-39.
Russell LW, Chandler FA: Fibrous dysplasia of bone. J Bone Joint Surg Am 1950; 32: 323-37.
Lumbreras RE, Castro A: Dolor en la región cervical y pierna derecha sin antecedente traumático en un paciente de 21 años. SECOT 2006: 297-9.
Panders AK: Clinic and differential diagnosis of fibrous displasia, cementofibroma and cementoma. Radiol Clin Biol 1995; 37(1): 53-6.

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