Semin Musculoskelet Radiol 2019; 23(01): 019-025
DOI: 10.1055/s-0038-1675804
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Practical Input on Bone Tumor Imaging: Pathological Fracture, Risk Features, and When to Contact Orthopaedics

Magdalena Lunkiewicz
1   Department of Radiology, Kantonsspital Baden, Baden, Switzerland
,
Suzanne Anderson
1   Department of Radiology, Kantonsspital Baden, Baden, Switzerland
2   The University of Notre Dame Australia, Sydney School of Medicine, Sydney, Australia
,
Sina Havakeshian
3   Department of Orthopedics, Kantonsspital Baden, Baden, Switzerland
4   Department of Orthopedics, Kantonsspital Aarau, Aarau, Switzerland
,
Andreas Würzburg
3   Department of Orthopedics, Kantonsspital Baden, Baden, Switzerland
4   Department of Orthopedics, Kantonsspital Aarau, Aarau, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
30 January 2019 (online)

Abstract

Awareness of risk factors associated with impending fracture and its radiologic appearance allows early diagnosis, supports prophylactic surgical treatment, and prevents the multiple complications of a pathologic fracture. Because the femur is the most common long bone affected by metastatic bone lesions, we address this clinically relevant site in this review. The key to early detection of risky bone lesions is familiarity with the possible clinical presentation, biomechanical effects of the anatomical site (femoral head and neck, intertrochanteric zone, proximal diaphysis), and the lesion types (lytic, blastic, or mixed). Awareness of the possible treatment strategies depending on the characteristics just listed allows high-quality targeted reporting.