Painful pathologic fracture of the humerus: Percutaneous osteoplasty with bone marrow nails under hybrid computed tomography and fluoroscopic guidance

Giovanni Carlo Anselmetti, Antonio Manca, Gabriele Chiara, Sean Tutton, Gabriella Iussich, Giancarlo Gino, Giovanni Grignani, Cinzia Ortega, Nora Moselli, Daniele Regge

Research output: Contribution to journalArticlepeer-review

Abstract

A case of a 75-year-old patient with a painful pathologic humeral shaft fracture, with unacceptably high surgical risk and unsatisfactory analgesia is reported. In this case, impaired arm function and persistent pain with conservative management resulted in a poor quality of life. Palliation with image-guided percutaneous osteoplasty was considered. Because of potential cement leakage, inadequate fracture reduction, the site of the fracture, and the mobility of the joints in that area, image-guided percutaneous delivery of metallic bone marrow nails implanted together with polymethyl methacrylate (PMMA) osteoplasty was performed. This procedure achieved humeral shaft stabilization, bone fragment alignment, fracture reduction, and pain relief.

Original languageEnglish
Pages (from-to)1031-1034
Number of pages4
JournalJournal of Vascular and Interventional Radiology
Volume22
Issue number7
DOIs
Publication statusPublished - Jul 2011

Keywords

  • PMMA
  • polymethyl methacrylate

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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