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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:507-511 August 24, 1995 Number 8
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Case 26-1995— A previously well, 29-year-old woman with a pathologic fracture of the femur
H.M. Dick, and A.E. Rosenberg

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Presentation of Case

A 29-year-old woman was admitted to the hospital because of a pathologic fracture of the right femur.

The patient had been well until 31 days earlier, when she crawled under a machine at work to connect a belt and began to have pain in the anterior portion of the right thigh, which became progressively worse. Five days later x-ray films of the thigh, obtained elsewhere, were normal. The pain persisted, and the patient began to walk on crutches.

One day before admission an orthopedic consultant made a diagnosis of a "sprain." On the next morning the patient arose from bed, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Harold M. Dick's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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