Pathological fracture in neoplastic disease, left fibula digital illustration

Pathological fracture in neoplastic disease, left fibula Save


ICD-10 code: M84.564

Chapter: Diseases of the musculoskeletal system and connective tissue

Understanding Pathological Fractures in Neoplastic Disease

Pathological fractures are fractures that occur in weakened bones due to underlying medical conditions. In the case of neoplastic disease, or cancer, these fractures can be particularly problematic. A pathological fracture in the left fibula, for example, can significantly impact a patient’s mobility and quality of life.

Neoplastic disease weakens bones by disrupting the normal balance between bone formation and resorption. This can lead to a condition called osteoporosis, which is characterized by a loss of bone density and a higher risk of fractures. When cancer spreads to the bones, it can also cause bone destruction, further weakening the bone and increasing the risk of fractures.

If a patient with neoplastic disease experiences a pathological fracture, it is important to address it promptly. Treatment options may include pain management, immobilization of the affected limb, and surgery to stabilize the bone. The goal of treatment is to relieve pain, restore function, and prevent further fractures.

Causes of Pathological Fractures in Neoplastic Disease

There are several factors that can increase the risk of pathological fractures in neoplastic disease. These include:

  1. Location of the tumor: Tumors that are located in weight-bearing bones, such as the femur or spine, are more likely to cause fractures.
  2. Tumor type: Certain types of cancer, such as breast, lung, and prostate cancer, are more likely to spread to the bones and cause fractures.
  3. Bone density: Patients with osteoporosis or other bone-weakening conditions are at a higher risk of developing pathological fractures.
  4. Treatment history: Patients who have undergone radiation therapy or chemotherapy may have weaker bones, making them more susceptible to fractures.
Preventing Pathological Fractures in Neoplastic Disease

While it may not be possible to completely prevent pathological fractures in patients with neoplastic disease, there are steps patients can take to reduce their risk. These include:

  • Following a healthy diet that is rich in calcium and vitamin D to promote bone health.
  • Engaging in weight-bearing exercise, such as walking or strength training, to improve bone density.
  • Working with a healthcare team to manage neoplastic disease and any underlying bone-weakening conditions.
  • Using assistive devices, such as canes or walkers, to reduce the risk of falls and fractures.

By understanding the causes of pathological fractures in neoplastic disease and taking steps to reduce their risk, patients can improve their quality of life and maintain their mobility even in the face of