[Orthopod] Re: PATHOLOGICAL # SHAFT HUMERUS


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[Orthopod] Re: PATHOLOGICAL # SHAFT HUMERUS

george.s.thomas at gmail
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Apr 29, 2008, 7:10 PM

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[Orthopod] Re: PATHOLOGICAL # SHAFT HUMERUS	Can't Post

I would go for the thick nail to ensure stability. If the fracture is
unstable after fixation, there will likely be pain.

On Wed, Apr 30, 2008 at 4:29 AM, hani al-elesh <hany_52@yahoo.com> wrote:

> Dear Dr. Amal..
> I think its better to start with bone scan to identify the hot spots
> elsewhere, on which u can then concentrate ur x-ray and MRI if needed to
> help grading of the tumor, core biopsy may help to identify the primary...if
> the humeral lesion proved to be a secondary, closed nailing will be a good
> option, but the question is : is it better to use a thin, un-reamed nail (as
> a palliative ttt. only) to avoid dissimination of tumor cells, or to use a
> thick reamed one aiming at healing after irradiation if the tumor is
> radio-sensitive..?
> Hany Al-elesh
> Prof. Ortho. Surg.
> Faculty of Medicine
> Zagazig - Egypt
>
>
> *amalbasakortho <amal_basak@dataone.in>* wrote:
>
> Dear Doctors,
>
> A male patient aged 65 yrs admitted to-day with a pathological # shaft of
> humerus (Lt) after a trivial injury. He has H/O CVA 3 years ago, at present
> (Rt) sided hemiparesis. Patient is hypertensive taking drugs for this. No
> other problems.
>
> Blood--Hb-12.6, TC-9800, N-80, L-17, ESR-5, Sugar(R)-101, Urea-26,
> Creatinine-1.2. Chest x-ray-NAD.
>
> Cause of # - ? secondary metastasis.
>
> What investigations to be done in such cases?
> What should be the plan of management in such cases?
>
> Attaching the x-ray pictures herewith.
>
> Thanking you,
>
> DR. AMAL BASAK, M.S.(Ortho)
>
> Consultant Orthopaedic Surgeon,
> Paramount Hospital,
> Siliguri- 734405
> West Bengal
> INDIA.
> Phones-9474354522(mob)
> e-mail-amal_basak@dataone.in
>
> ------------------------------
> Sent from Yahoo! Mail<http://us.rd.yahoo.com/mailuk/taglines/isp/control/*http://us.rd.yahoo.com/evt=52418/*http://uk.docs.yahoo.com/nowyoucan.html>.
>
> A Smarter Email
>
> >
>

--
George Thomas,
Chief Orthopaedic Surgeon,
St. Isabel's Hospital,
Mylapore,Chennai 600004,
India.
Phone +91-44-24991081/82/83
Editor, Indian Journal of Medical Ethics,
www.issuesinmedicalethics.org
www.ijme.in

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