From Trivial Trauma to Major Surgery: Navigating Skeletal Metastases with Sequential Hip Arthroplasty for Pathological Femoral Neck Fractures in Triple-Negative Breast Cancer.

Abstract

Introduction: Pathological fractures are becoming a very common entity in routine clinical practice due to the widespread prevalence of a wide variety of primary tumors in metropolitan and rural areas. Pathological fractures are often underdiagnosed by surgeons in day-to-day practice. Managing such missed fractures in patients is a nuisance. In this case report, we look into one such patient who came to us with successive serial fractures of multiple long bones.

Case report: A 49-year-old lady presented to us with complaints of right hip with no history of trauma. Plain radiographs were done which revealed a right neck of femur fracture. She underwent right hip bipolar hemiarthroplasty. Forty-five days later she had another trivial injury to her left hip and was diagnosed through radiographs as left neck of femur fracture, for which she underwent left hip bipolar hemiarthroplasty.

Conclusion: A thorough evaluation of bony metastasis is required in the management of pathological fractures or impending fracturesto prevent missing such fractures and early surgical intervention provides good outcome in most cases.