PMC7582063_01
Preoperative radiographs demonstrating simultaneous lytic lesions and pathologic fractures of upper limbs secondary to a renal cell cancer.
CRIM2020-8408943.001.jpg
PMC7582063_01_CRIM2020-8408943.001.jpg
fig1
Preoperative radiographs (as in Figure 1) demonstrated the fractures and wide lytic lesions involving the left humerus and the proximal right radius and confirmed the pathologic fracture of the right humerus.
Preoperative CT scans demonstrating a large extraskeletal mass in the proximal left humerus causing a pathologic fracture, while a second lytic lesion is visible distally. On the right side: in the upper and lower corner, axial CT scans of the proximal and distal lesions are visible, respectively. (CT: computed tomography).
CRIM2020-8408943.002.jpg
PMC7582063_01_CRIM2020-8408943.002.jpg
fig2
An additional CT scan of the upper limbs was performed to refine the surgical indication (Figure 2).
(a, b) Two radiographs showing bone healing of the pathologic fracture of the right humerus at two months of follow-up. (c, d) Two radiographs showing bone healing of the pathologic fracture of the left humerus at two months of follow-up.
CRIM2020-8408943.003.jpg
PMC7582063_01_CRIM2020-8408943.003.jpg
fig3
Along with the clinical examination, radiographs were performed (Figures 3 and 4) and showed no secondary mobilization of the implants, an initial callus formation, and new ossification processes.
Two radiographs showing bone healing of the pathologic fracture of the right radius at two months of follow-up.
CRIM2020-8408943.004.jpg
PMC7582063_01_CRIM2020-8408943.004.jpg
fig4
Along with the clinical examination, radiographs were performed (Figures 3 and 4) and showed no secondary mobilization of the implants, an initial callus formation, and new ossification processes.