Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report
Journal Title: Malaysian Orthopaedic Journal - Year 2011, Vol 5, Issue 1
Abstract
We report a case of end-stage renal failure in a patient who presented with acute cord compression and extensive brown tumour involving the spine, distal femur and patella. Brown tumours of the long bone, spine and pelvis have been documented previously. However, the occurrence of brown tumour in sesamoid bones such as the patella is extremely rare and is indicative of widespread lesions and severe secondary hyperparathyroidism. These tumours typically respond poorly to medical treatment alone. The acute cord compression by spinal brown tumour necessitated urgent surgical decompression while the other lesions were treated with medical treatment and surgical parathyroidectomy.
Authors and Affiliations
TH Low, LB Saw, MK Kwan, CYM Chan, AS Deepak
Non-Bacterial Chronic Recurrent Osteomyelitis of the Clavicle
This report details the case of a 12-year-old girl with a painful, progressive swelling of the medial portion of the clavicle with no history of trauma or other constitutional symptoms. All laboratory investigations were...
Transtubular Transoral Surgery for Excision of a Dystrophic Os Odontoideum: A Case Report
Transoral approach to the cervico-medullary junction is a well-established procedure. However oropharyngeal complications in the form of soft tissue morbidity postoperatively do occur. We report a case of a teenage boy w...
Lymphatic Filariasis Presenting as a Swelling over the Upper Arm: A Case Report
Filariasis continues to be one of the endemic problems worldwide with 40% of the cases in India. We report a case of lymphatic filariasis in a 32-year old female who presented with a non-tender swelling over left upper a...
First and Second Metatarsophalangeal Joint Open Dislocations: A Case Report
Dislocation of multiple metatarsophalangeal joint is an uncommon injury. The mechanism of injury is a high energy force distal to proximal with foot in hyperextension at the metatarsophalangeal (MTP) joint. The acute hyp...
Synovial Sarcoma of the Extremities. A Diagnosis that is Easily Missed
Synovial sarcoma of the extremities is an uncommon type of soft tissue sarcoma occurring predominantly in young adults at the para-articular regions. We present a series of 10 patients with an average age of 44 years and...