Pathological fracture, pelvis digital illustration

Pathological fracture, pelvis Save


ICD-10 code: M84.454

Chapter: Diseases of the musculoskeletal system and connective tissue

Understanding Pathological Fracture in the Pelvis

A pathological fracture in the pelvis is a type of bone fracture that occurs due to an underlying disease or condition that has weakened the bone. The pelvis is a vital part of the body that supports the weight of the upper body and provides a foundation for the legs to move. When the pelvis experiences a fracture, it can cause severe pain, immobility, and disability. Understanding the causes, symptoms, and treatment options for pathological fractures in the pelvis is crucial for individuals at risk of developing this condition.

Causes

The most common cause of pathological fractures in the pelvis is metastatic cancer. Cancer cells can spread to the bones, including the pelvis, and weaken them, making them prone to fractures. Other conditions that can cause pathological fractures in the pelvis include osteoporosis, Paget's disease, and bone cysts. Trauma, such as a fall or car accident, can also cause a pathological fracture in the pelvis in individuals with weakened bones.

Symptoms

The symptoms of a pathological fracture in the pelvis include severe pain in the affected area, difficulty walking or standing, swelling, and bruising. The pain may worsen with movement and may not subside with rest. Individuals with a pathological fracture in the pelvis may also experience numbness or tingling in the legs or groin area.

Treatment options
  1. Non-surgical treatment:

    • Pain management with medications

    • Physical therapy to maintain mobility and strength

  2. Surgical treatment:

    • Internal fixation with screws, plates, or rods

    • External fixation with a brace or cast

    • Percutaneous cement injection to stabilize the bone

The treatment options for a pathological fracture in the pelvis depend on the severity of the fracture, the underlying condition causing the fracture, and the individual's overall health. Non-surgical treatment options may be sufficient for individuals with mild to moderate fractures, while surgical treatment options may be necessary for severe fractures or fractures that affect mobility.

Conclusion

Pathological fractures in the pelvis can cause significant pain, immobility, and disability. Understanding the causes, symptoms, and treatment options for this condition is crucial for individuals at risk of developing a pathological fracture in the pelvis. If you experience any symptoms of a pathological fracture in the pelvis, it is essential