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Pathological Fractures

= a fracture occurring in diseased bone

Important points:

  • A force which is insufficient to break a normal bone may result in a fracture in diseased or abnormal bone
  • It is important to suspect one of the underlying conditions which predispose to pathological fractures (listed below) in a patient with a fracture which appears inconsistent with the mechanism of injury


A number of conditions predispose patients to pathological fractures:

1. Osteoporosis

2. Osteomalacia

3. Paget’s disease

4. Tumour - primary/secondary and benign/malignant

            - other malignancy, such as myeloma

5. Inflammatory conditions – rheumatoid arthritis

6. Infection
N.B. some of these conditions have been discussed elsewhere 


= reduced bone density
Important points:

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Describing a Fracture
Different types of Fractures
Fracture Complications
Fracture Principles
Open Fractures
Orthopaedic Devices
Pathological Fractures
Treatment of Fractures
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