Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 4, Number 4, April 2013, pages 259-261

Isolated Fracture of the Lesser Trochanter as a First Manifestation of Metastatic Lung Carcinoma


Figure 1.
Figure 1. A) Anteroposterior radiograph of the pelvis with avulsion fracture of right lesser femoral trochanter. B) Axial radiograph of right hip with isolated lesser trochanter fracture and no other associated bone lesions. C) Anteroposterior chest radiograph shows massive atelectasis of the right lung and left lung hilum tumor.
Figure 2.
Figure 2. A) Tc 99 Bone scintigraphy: Vascular phase: hyperemia in the right proximal femur and left iliac crest. In the bone phase (two hours after the injection of TC99): lytic lesion in the left iliac crest and irregular hyperemia consistent with that observed in the right proximal femur. B) Chest CT: Massive atelectasis of the right lung and irregular mass in left lung lingula, M1 at 5th dorsal vertebra.