Fracture, beyond trauma
DOI:
https://doi.org/10.5377/alerta.v5i2.12822Keywords:
Leg bones, sarcoma, biopsy needle, Ewing's sarcomaAbstract
Case presentation. A 19-year-old patient, with no previous medical history, with a history of trauma to the right thigh, presented with shortening, edema, rotation of the right lower limb and pain. Radiography identified a fracture in the proximal third of multiple fragments of the diaphysis with thickening and periosteal reaction that generated a suspicion of a bone tumor. MRI confirmed a bone neoplasm of malignant characteristics in the upper third of the femur with destruction of the cortex and invasion of the endomedullary canal without signs of metastatic lesions. The biopsy confirmed the diagnosis of localized Ewing’s sarcoma. Treatment. The intrahospital management consisted of anti-inflammatory drugs and immobilization of the right lower limb for 21 days. Then, she received three cycles of chemotherapy with the Ewing sarcoma phase I scheme. In addition, physical therapy, outpatient treatment with analgesic, radiotherapy and finally partial hip resection was indicated. Outcome. There was a decrease in local edema, pain control with oral medications, mobility was recovered, although the functional limitation of the right lower limb was maintained, making it impossible to stand and walk.
Downloads
481
PDF 88
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Francisco Rolando Rodríguez García
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Privacy statement:
Alerta articles are published under license Creative Commons 4.0 CC BY: https://creativecommons.org/licenses/by/4.0/
Authorship rights
Revista Alerta gives the authors exclusive control of their work and the right to be acknowledged and cited.