Journal List > J Korean Bone Joint Tumor Soc > v.17(2) > 1051997

Yum, Park, and Kim: Pathologic Fracture Due to an Osteoblastoma of the Humerus Shaft: A Case Report

Abstract

Osteoblastoma is rare, benign, bone-forming tumor that often occur in the spine. There are few reports of osteoblastomas resulting in pathologic fractures involving long bones. Authos report a unique case of a pathologic fracture due to an osteoblastoma of the humerus shaft. The tumor was treated successfully by curettage, intramedullary nailing and bone allograft.

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Figure 1.
Initial radiographs show a transverse humerus shaft fracture with displacement. At the fracture site, a radiopaque lesion is identified in the medullary space of the proximal fragment of the humerus (white arrows).
jkbjts-17-87f1.tif
Figure 2.
Enhanced MRI shows a focal sclerotic lesion involving both the medullary and cortical portions around the fracture site and a small enhancing portion at the periphery, suggesting a bone-forming tumor (white arrows).
jkbjts-17-87f2.tif
Figure 3.
Photomicrograph of the curettage specimen shows osteoid islands composed of osteoblasts and ossification with mineralisation (black arrows; haematoxylin & eosin, ×400).
jkbjts-17-87f3.tif
Figure 4.
Radiographs 6 months after the operation show radiological bone union.
jkbjts-17-87f4.tif
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