Srivastava Amit, Aggarwal Aditya N, Mishra Puneet, Bhateja Dheeraj
Department of Orthopaedics, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi 110095, India.
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):27-29. doi: 10.1016/j.jcot.2016.10.005. Epub 2016 Oct 17.
A pathological fracture is one which occurs in diseased bone with trivial trauma or even without it. However, fracture occurring as a result of significant injury can masquerade underlying ominous bone pathology, which is highly likely to be missed in the garb of overwhelming traumatic aetiology. Pathological fracture as the manifestation of tumour in children less than 10 years of age is rare.1, 2 Fracture following significant trauma masquerading as underlying malignancy is even rarer. We report a case of 7-year-old male child, he had history of significant trauma with fracture shaft of femur, pathology was "missed" initially in the outset of trauma and on subsequent follow up it was found to be osteosarcoma.
病理性骨折是指在病变骨骼中发生的骨折，其受到的外力轻微甚至没有外力作用。然而，由严重损伤导致的骨折可能掩盖潜在的严重骨病理情况，在严重创伤病因的掩盖下极有可能被漏诊。10岁以下儿童中，作为肿瘤表现形式的病理性骨折较为罕见。1,2 因严重创伤导致骨折并掩盖潜在恶性肿瘤的情况更为罕见。我们报告一例7岁男童，他有股骨骨干骨折的严重创伤史，最初在创伤初期“漏诊”了病理情况，后续随访时发现是骨肉瘤。
