What is a pathological fracture?
Pathological fracture is a turning point in a bone that occurs as a result of the underlying disease, unlike direct physical trauma or impact. In fact, most pathological fractures occur spontaneously during normal activity or after a slight injury that would usually not lead to a broken bone in most people. Most often, the loss of bone density due to the development of osteoporosis is most common. However, there are many other conditions that can lead to pathological fracture, including metabolic disorders, genetic bone deformities, infections, benign tumors and cysts and cancer that metastasize to bones. However, for those who may be at increased risk, a proactive approach to reducing the likelihood of pathological fracture is also reflected in less surgical interventions and lengthy stays in the hospital. Regular screen in patients who represent one of the above -mentioned risk factors are recommended, in particular if there is a reason under PodeScene on skeletal lesions.
Often, the only symptom is located pain that does not respond to anti -inflammatory drugs or pain blockers. In addition, it should be noted that pain from skeletal lesions can originally be attributed to other conditions and overlooked. For example, metastases affecting the spinal cord or pelvis are often mistakenly attributed to ischias.
Diagnostic measures used to detect pathological fractures usually begin with blood tests. For example, elevated levels of C-reactive protein C and erythrocyte sedimentation indicate the presence of chronic inflammatory condition. Urine analysis can also be performed to evaluate the levels of N-teopeptics, which serves as a breakup to deteriorate the collagen in the bone.
Magscans Neetic resonance (MRI) and computer tomography (CT) usually follow, revealing the speed of marrow replacement and details of the bone structure. If these tests are suspiciousTumor formation, radionuclide scanning of the whole body can be carried out to determine specific places where a pathological fracture is most likely to be found or at a certain point.
Treatment varies from individual. In some cases, chemotherapy or radiation may be necessary to reduce tumors. Patients experiencing a pathological fracture due to bone metastases associated with breast cancer are often treated with bisphosphonates. Surgery may also be listed. For example, some patients may benefit from prophylactic fixation of fracture fractures with bone cement and rises, while others may receive an artificial prosthesis that replaces the defective bone.