Pathological fracture in fibrous dysplasia: a case report

https://doi.org/10.19106/JMedSci005403202210

Bambang Supriyadi(1*)

(1) Department of Radiology, Faculty of Medicine, and Public Health, and Nursing, Universitas Gadjah Mada/Dr. Sardjito General Hospital, Yogyakarta
(*) Corresponding Author

Abstract


Fibrous dysplasia (FD) is described as a growth disorder characterized by the progressive replacement of normal bone elements by fibrous-osseus tissue. Bones affected by FD is presented with bone weakening and prone to pathological fracture. We reported a case of FD in an 8-years-old boy, who came to the hospital with pain in the upper right thigh after falling with bumps in his head and foot. An X-ray revealed a deformity as a diasteal scalloping with radiolucency lesions on one-third proximal of the right upper femur, greater trochanter, and lesser trochanter, with complete transverse discontinuity in the distal deformity. No similar lesion was found in the other bones. Bone structure and trabeculation in the deformity area has decreased and the cortex was thinning. On magnetic resonance imaging (MRI), bone size was enlarged, hypointense on T1WI and inhomogeneous hyperintense on T2WI. Fibrous dysplasia with a pathological fracture is a rare case. The appearance on the X-ray was diasteal scalloping with a ground-glass radiolucency represented with Shepherd's crook deformity. This lesion was accompanied by a pathological fracture (fragility fracture) on distal lesion. Fibrous dysplasia which characterized by bone developmental anomaly gave an inhomogeneous hypointense on T1W1 and hyperintense on T2WI.


Keywords


fibrous dysplasia; ound glass lucent; pathological fractures; X-ray; MRI

Full Text:

PDF


References

Chen YR, Chang CN, Tan YC. Craniofacial fibrous dysplasia: an update. Chang Gung Med J 2006; 29(6):543-9.
2.Agarwal M, Balaji N, Sumathi MK, Sunitha JD, Dawar G, Rallan NS. Fibrous dysplasia: a review. TMU J Dent 2014; 1(1):25-9.
3.Kransdorf MJ, Moser RP, Gilkey FW. Fibrous dysplaslia. Radiographics 1990; 10(3):519-37.
https://doi.org/10.1148/radiographics.10.3.2188311
4.Singh G, Feger J. Fibrous dysplasia. https://radiopaedia.org/articles/4915.
https://doi.org/10.53347/rID-4915
5.Muthusamy S, Subhawong T, Conway SA, Temple HT. Locally aggressive fibrous dysplasia mimicking malignancy: a report of four cases and review of the literature. Clin Orthop Relat Res 2015; 473(2):742-50.
https://doi.org/10.1007/s11999-014-3926-x
6.Kothiyal P, Gupta P, Vij K, Menwal G, Thakur A. Fibrous dysplasia with pathological fracture of femur - a case report. Int J Curr Med Pharm Res 2016; 2(10):752-4.
7.Burke AB, Collins MT, Boyce AM. Fibrous dysplasia of bone: craniofacial and dental implications. Oral Dis 2017; 23(6):697-708.
https://doi.org/10.1111/odi.12563
8.Deshpande A, Naidu GS, Dara BGB, Gupta M. Craniofacial fibrous dysplasia: A summary of findings with radiological emphasis. J Indian Acad Oral Med Radiol 2016; 28(4):403-8.
https://doi.org/10.4103/0972-1363.200631
9.Leet AI, Chebli C, Kushner H, Chen CC, Kelly MH, Brillante BA, et al. Fracture incidence in polyostotic fibrous dysplasia and the mccune-albright syndrome. J Bone Miner Res 2004; 19(4):571-7.
https://doi.org/10.1359/JBMR.0301262
10.DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation, and treatment. J Bone Joint Surg Am 2005; 87(8):1848-64.
https://doi.org/10.2106/JBJS.D.02942
11.Gitto L, Zaccarini DJ. Fibrous dysplasia phatology. Medscape.
https://emedicine.medscape.com/article/1998464-overview#a3
12.Leet AI, Collins MT. Current approach to fibrous dysplasia of bone and McCune-Albright syndrome. J Child Orthop 2007; 1(1):3-17.
https://doi.org/10.1007/s11832-007-0006-8
13.Fitzpatrick KA, Taljanovic MS, Speer DP, Graham AR, Jacobson JA, Barnes GR, et al. Imaging findings of fibrous dysplasia with histopathologic and intraoperative correlation. AJR Am J Roentgenol 2004; 182(6):1389-98.
https://doi.org/10.2214/ajr.182.6.1821389
14.Jee WH, Choi KH, Choe BY, Park JM, Shinn KS. Fibrous dysplasia: MR imaging characteristics with radiopathologic correlation. AJR Am J Roentgenol 1996; 167(6):1523-7.
https://doi.org/10.2214/ajr.167.6.8956590
15.Hakim DN, Pelly T, Kulendran M, Caris JA. Benign tumours of the bone: a review. J Bone Oncol 2015; 4(2):37-41.
http://doi.org/10.1016/j.jbo.2015.02.001
16.Okada K, Yoshida S, Okane K, Sageshima M. Cystic fibrous dysplasia mimicking giant cell tumor: MRI appearance. Skeletal Radiol 2000; 29(1):45-8.
https://doi.org/10.1007/s002560050008
17.Chika A, Philomena I. Fibrous dysplasia of the humerus: an uncommon cause of pathological fracture in a 56-year-old. Nigerian J Surg Res 2016; 17(1):17-9.
https://doi.org/10.4103/1595-1103.182479
18.de Mattos CBR, Binitie O, Dormans JP. Pathological fractures in children. Bone Joint Res 2012; 1(10):272-80.
https://doi.org/10.1302/2046-3758.110.2000120.
19.Endres S, Wilke A. Fibrous dysplasia - differential diagnosis of cystic lesions in the proximal femur:a case report. Cases J 2009; 2(1):26.
https://doi.org/10.1186/1757-1626-2-26
Chagou A, Rhanim A, Zanati R, Bardouni A, Mahfoud M, Berrada MS, et al. Pathological fractures from benign tumours (about 27 cases). Int J Sci Technol Res 2014; 3(9):114-5.



DOI: https://doi.org/10.19106/JMedSci005403202210

Article Metrics

Abstract views : 404 | views : 539




Copyright (c) 2022 Bambang Supriyadi

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

View My Stats

 

Creative Commons License
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by  Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Based on a work at http://jurnal.ugm.ac.id/bik/.

https://transukma.uniba-bpn.ac.id/js/kambox/

https://transukma.uniba-bpn.ac.id/js/ovo/

https://transukma.uniba-bpn.ac.id/js/server-thai/

https://jurnal.pmat.uniba-bpn.ac.id/lib/bonusx/

https://jurnal.pmat.uniba-bpn.ac.id/lib/demo-pg/

https://jurnal.pmat.uniba-bpn.ac.id/lib/pulsak/

https://abdimasuniversal.uniba-bpn.ac.id/plugins/rtp/

https://abdimasuniversal.uniba-bpn.ac.id/plugins/demo/

https://abdimasuniversal.uniba-bpn.ac.id/plugins/bonus/

https://sidabebagidinsos.kaltimprov.go.id/vendor/xdemox/

https://sidabebagidinsos.kaltimprov.go.id/vendor/xgacorx/

https://sidabebagidinsos.kaltimprov.go.id/vendor/xmax/

https://sidabebagidinsos.kaltimprov.go.id/vendor/xthaix/

http://jakp.fisip.unand.ac.id/pages/kamboja/

http://jakp.fisip.unand.ac.id/pages/maxwin/

http://jakp.fisip.unand.ac.id/pages/bonus/

http://jakp.fisip.unand.ac.id/pages/gacor/

http://jsa.fisip.unand.ac.id/docs/qris/

http://jsa.fisip.unand.ac.id/docs/rtp/

http://jsa.fisip.unand.ac.id/docs/totosl/

http://jsa.fisip.unand.ac.id/docs/thailand/

http://ijmhfs.lppm.unand.ac.id/icon/pulsa/

http://ijmhfs.lppm.unand.ac.id/icon/depo/

http://ijmhfs.lppm.unand.ac.id/icon/gacor4d/

http://ijmhfs.lppm.unand.ac.id/icon/totoslt/

http://elevate.fkep.unand.ac.id/docs/garansi-kekalahan/

http://elevate.fkep.unand.ac.id/docs/thaix/

http://elevate.fkep.unand.ac.id/docs/pulsa-tanpa-potongan/

http://elevate.fkep.unand.ac.id/docs/gacor/

http://ajorl.fk.unand.ac.id/public/bd-togel/

http://ajorl.fk.unand.ac.id/public/bonusx/

http://ajorl.fk.unand.ac.id/public/mahjongx/

http://ajorl.fk.unand.ac.id/public/sv388x/

http://ijmhfs.lppm.unand.ac.id/icon/totoslt/

http://jurnalpuitika.fib.unand.ac.id/pages/10.000/

http://jurnalpuitika.fib.unand.ac.id/pages/demo/

http://jurnalpuitika.fib.unand.ac.id/pages/akun-pro-kambo/

http://jurnalpuitika.fib.unand.ac.id/pages/macau/

http://amar.fekon.unand.ac.id/js/dana/

http://amar.fekon.unand.ac.id/js/pulsa/

http://amar.fekon.unand.ac.id/js/demo-pg/

http://amar.fekon.unand.ac.id/js/777/

http://ajlc.fib.unand.ac.id/docs/s-777/

http://ajlc.fib.unand.ac.id/docs/xdemo/

http://ajlc.fib.unand.ac.id/docs/xmaxwin/

http://ajlc.fib.unand.ac.id/docs/xthaix/

http://jip.fk.unand.ac.id/public/bandar-tog/

http://jip.fk.unand.ac.id/public/pola-gacor/

http://jip.fk.unand.ac.id/public/pulsa100/

http://jip.fk.unand.ac.id/public/xqrisx/

http://jpep.fekon.unand.ac.id/docs/pay4d/

http://jpep.fekon.unand.ac.id/docs/xdemo/

http://jpep.fekon.unand.ac.id/docs/xmax/

http://jpep.fekon.unand.ac.id/docs/xpulsa/

http://chipset.fti.unand.ac.id/js/akun-pro-kamboja/

http://chipset.fti.unand.ac.id/js/demo/

http://chipset.fti.unand.ac.id/js/pragmatic/

http://chipset.fti.unand.ac.id/js/totojitu/

http://jagur.faperta.unand.ac.id/lib/xbolax/

http://jagur.faperta.unand.ac.id/lib/server-thai/

http://jagur.faperta.unand.ac.id/lib/xbonusx/

http://jagur.faperta.unand.ac.id/lib/xmaxwinx/

https://mrv.kaltimprov.go.id/css/xdemo/

https://mrv.kaltimprov.go.id/css/xgacor/

https://mrv.kaltimprov.go.id/css/xthai/

https://mrv.kaltimprov.go.id/css/xmax/

http://jpdi.pasca.unand.ac.id/public/bdtog/

http://jpdi.pasca.unand.ac.id/public/maxwin/

http://jpdi.pasca.unand.ac.id/public/qris/

http://jpdi.pasca.unand.ac.id/public/scatter/

http://aijsed.lppm.unand.ac.id/lib/princess/

http://aijsed.lppm.unand.ac.id/lib/RTP/

http://aijsed.lppm.unand.ac.id/lib/server-kambo/

http://aijsed.lppm.unand.ac.id/lib/zeus/

http://inomet.ft.unand.ac.id/tools/777/

http://inomet.ft.unand.ac.id/tools/bd-tog/

http://inomet.ft.unand.ac.id/tools/demo/

http://inomet.ft.unand.ac.id/tools/gopay/

http://jarpet.ft.unand.ac.id/public/77/

http://jarpet.ft.unand.ac.id/public/demopg/

http://jarpet.ft.unand.ac.id/public/gacor/

http://jarpet.ft.unand.ac.id/public/kambo/

http://jkm.fib.unand.ac.id/docs/pragmatic/

http://jkm.fib.unand.ac.id/docs/gacor4d/

http://jkm.fib.unand.ac.id/docs/pulsa/

http://jkm.fib.unand.ac.id/docs/server-thai/

http://seminarpds.unp.ac.id/public/rtpslt/

http://seminarpds.unp.ac.id/public/smahjong/

http://seminarpds.unp.ac.id/public/szeus/

http://seminarpds.unp.ac.id/public/sgaransikekalahan/

http://adj.fkg.unand.ac.id/public/bola/

http://adj.fkg.unand.ac.id/public/kambo/

http://adj.fkg.unand.ac.id/public/maxwin/

http://adj.fkg.unand.ac.id/public/pulsa/

http://ijsab.fateta.unand.ac.id/js/deposit-pulsa/

http://ijsab.fateta.unand.ac.id/js/scatter/

http://ijsab.fateta.unand.ac.id/js/terbaru/

http://ijsab.fateta.unand.ac.id/js/vip/

http://jpm.fk.unand.ac.id/docs/xbonusx/

http://jpm.fk.unand.ac.id/docs/xdemox/

http://jpm.fk.unand.ac.id/docs/xmax/

http://jpm.fk.unand.ac.id/docs/xthaix/

http://aijhr.lppm.unand.ac.id/pages/xdanax/

http://aijhr.lppm.unand.ac.id/pages/xbolax/

http://aijhr.lppm.unand.ac.id/pages/deposit-pulsa/

http://aijhr.lppm.unand.ac.id/pages/xmahjongx/

http://ojs2.ejournal.unand.ac.id/icon/777/

http://ojs2.ejournal.unand.ac.id/icon/bd-slt/

http://ojs2.ejournal.unand.ac.id/icon/bonanza/

http://ojs2.ejournal.unand.ac.id/icon/gacor/

http://temapela.labdasar.unand.ac.id/fonts/xgacor4d/

http://temapela.labdasar.unand.ac.id/fonts/xkambo/

http://temapela.labdasar.unand.ac.id/fonts/xqris/

http://temapela.labdasar.unand.ac.id/fonts/xthai/

http://jask.lppm.unand.ac.id/js/gacorx/

http://jask.lppm.unand.ac.id/js/kambo/

http://jask.lppm.unand.ac.id/js/thaix/

http://jask.lppm.unand.ac.id/js/totoslt/

http://jekpi.fekon.unand.ac.id/docs/777x/

http://jekpi.fekon.unand.ac.id/docs/bonusx/

http://jekpi.fekon.unand.ac.id/docs/maxwinx/

http://jekpi.fekon.unand.ac.id/docs/pulsax/

http://jlk.fib.unand.ac.id/docs/dana/

http://jlk.fib.unand.ac.id/docs/garansi/

http://jlk.fib.unand.ac.id/docs/pro-thaix/

http://jlk.fib.unand.ac.id/docs/qris/

https://irecoms.ump.ac.id/kambox/

https://irecoms.ump.ac.id/bonusx/

https://irecoms.ump.ac.id/demox/

https://irecoms.ump.ac.id/gacor4d/

https://jurnal.fea.uniba-bpn.ac.id/docs/bonusx/

https://jurnal.fea.uniba-bpn.ac.id/docs/kambox/

https://jurnal.fea.uniba-bpn.ac.id/docs/pulsax/

https://jurnal.ftm.uniba-bpn.ac.id/js/demox/

https://jurnal.ftm.uniba-bpn.ac.id/js/gacorx/

https://jurnal.ftm.uniba-bpn.ac.id/js/maxwinx/

http://conference.fortei.unp.ac.id/public/bndrslt/

http://conference.fortei.unp.ac.id/public/sqris/

http://conference.fortei.unp.ac.id/public/sgacor/

http://conference.fortei.unp.ac.id/public/skambo/

http://icpapg.ian.fis.unp.ac.id/public/resultsgp/

http://icpapg.ian.fis.unp.ac.id/public/sbola/

http://icpapg.ian.fis.unp.ac.id/public/sbonanza/

http://icpapg.ian.fis.unp.ac.id/public/totojitu/

http://jcp.fib.unand.ac.id/lib/garansi/

http://jcp.fib.unand.ac.id/lib/link/

http://jcp.fib.unand.ac.id/lib/situs/

http://jcp.fib.unand.ac.id/lib/zeus/

http://magistraandalusia.fib.unand.ac.id/public/princess/

http://magistraandalusia.fib.unand.ac.id/public/jepang/

http://magistraandalusia.fib.unand.ac.id/public/rtp-live/

http://magistraandalusia.fib.unand.ac.id/public/situs-s/

http://jinh.fmipa.unand.ac.id/js/777/

http://jinh.fmipa.unand.ac.id/js/akun-pro-kamboja/

http://jinh.fmipa.unand.ac.id/js/princess/

http://jinh.fmipa.unand.ac.id/js/server-thai/

http://ajm.fk.unand.ac.id/lib/bd-slt/

http://ajm.fk.unand.ac.id/lib/server-kambo/

http://ajm.fk.unand.ac.id/lib/server-thai/

http://ajm.fk.unand.ac.id/lib/totoslt/

http://jokli.fk.unand.ac.id/public/demox/

http://jokli.fk.unand.ac.id/public/gopayx/

http://jokli.fk.unand.ac.id/public/bonusx/

http://jokli.fk.unand.ac.id/public/kambox/

https://aijaset.lppm.unand.ac.id/js/hoki/

https://aijaset.lppm.unand.ac.id/js/mahjong/

https://aijaset.lppm.unand.ac.id/js/server-kambo/

https://aijaset.lppm.unand.ac.id/js/sv388/

http://ajis.fisip.unand.ac.id/icon/deposit-pulsa/

http://ajis.fisip.unand.ac.id/icon/maxwin/

http://ajis.fisip.unand.ac.id/icon/88/

http://ajis.fisip.unand.ac.id/icon/xthaix/

https://ijpia.uho.ac.id/icon/thai/

https://ijpia.uho.ac.id/icon/akun-pro/

https://ijpia.uho.ac.id/icon/myanmar/

https://konteks17.uniba-bpn.ac.id/public/laos/

https://konteks17.uniba-bpn.ac.id/public/scatter/

https://konteks17.uniba-bpn.ac.id/public/ovo/

http://iceis.fis.unp.ac.id/public/sdemo/

http://iceis.fis.unp.ac.id/public/smax/

http://iceis.fis.unp.ac.id/public/sthai/

http://iceis.fis.unp.ac.id/public/spulsa/

http://icgeo.fis.unp.ac.id/public/conferences/paitohk/

http://icgeo.fis.unp.ac.id/public/conferences/resulthk/

http://icgeo.fis.unp.ac.id/public/conferences/resultmacau/

http://icgeo.fis.unp.ac.id/public/conferences/totomacau/

http://teknikinformatika.fasilkom.mercubuana.ac.id/wp-content/macau/

http://teknikinformatika.fasilkom.mercubuana.ac.id/wp-content/paitohk/

http://teknikinformatika.fasilkom.mercubuana.ac.id/wp-content/resulthk/

http://ajeeet.ft.unand.ac.id/docs/ovo/

http://ajeeet.ft.unand.ac.id/docs/bonus/

http://ajeeet.ft.unand.ac.id/docs/pulsa/

http://ajeeet.ft.unand.ac.id/docs/pragmatic/

http://jpi.faterna.unand.ac.id/docs/demo/

http://jpi.faterna.unand.ac.id/docs/garansi/

http://jpi.faterna.unand.ac.id/docs/rtp/

http://jpi.faterna.unand.ac.id/docs/server-thai/

http://jurnalpsikologi.fk.unand.ac.id/docs/77/

http://jurnalpsikologi.fk.unand.ac.id/docs/mahjong/

http://jurnalpsikologi.fk.unand.ac.id/docs/gopay/

http://jurnalpsikologi.fk.unand.ac.id/docs/xthaix/

http://aijans.lppm.unand.ac.id/lib/kambo/

http://aijans.lppm.unand.ac.id/lib/pulsa-tanpa-potongan/

http://aijans.lppm.unand.ac.id/lib/qris/

http://aijans.lppm.unand.ac.id/lib/toto-slt/

http://aijcsbd.lppm.unand.ac.id/public/bonus/

http://aijcsbd.lppm.unand.ac.id/public/maxwin/

http://aijcsbd.lppm.unand.ac.id/public/rtp/

http://aijcsbd.lppm.unand.ac.id/public/scatter/

http://aijfhn.lppm.unand.ac.id/pages/dana/

http://aijfhn.lppm.unand.ac.id/pages/vip/

http://aijfhn.lppm.unand.ac.id/pages/pro-thai/

http://aijfhn.lppm.unand.ac.id/pages/server-kambo/