PRESENTATION AND MANAGEMENT OF BILATERAL FRACTURE SHAFT HUMERUS IN A MULTIPLE MYELOMA PATIENT: AN EXTREMELY RARE CASE REPORT AND REVIEW OF LITERATURE

Bhanu Kumar Sharma, Kavish Kapoor, Rohit Verma
2018 Indian Journal of Case Reports  
Multiple myeloma (MM) is a malignancy of plasma cells and the second most common hematologic malignancy (13%); these cells accumulate in bone marrow and overproduce a monoclonal protein. The bone disease develops in 80-90% of patients with MM includes bone pain, pathologic fractures (40%), spinal cord compression (5%), and hypercalcemia. Pathological fractures can occur in extremities, but bilateral involvement is extremely rare. We report a case of 65-year-old male presented with a chief
more » ... int of spontaneous bilateral humerus shaft fractures. On subsequent workup, MM was confirmed. The patient was managed with internal fixation bilaterally and showed favorable union at 1-year follow-up. at 1-year follow-up. In similar studies, they are not mentioning about follow-up. Gainor and Buchert [16] reported a union rate of 67% of fractures in PFs associated with MM. However, further studies are needed to determine healing of PFs in such cases. CONCLUSION Pathological fractures of long bones associated with MM can be satisfactorily treated with internal fixation with adequate adjuvant therapy.
doi:10.32677/ijcr.2018.v04.i03.015 fatcat:xpzb2hefjjfrpkcbkxyn6w2rnm