Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report

We report a case of end-stage renal failure in a patient who presented with acute cord compression and extensive brown tumour involving the spine, distal femur and patella. Brown tumours of the long bone, spine and pelvis have been documented previously. However, the occurrence of brown tumour in se...

Full description

Bibliographic Details
Main Authors: TH Low, LB Saw, MK Kwan, CYW Chan, AS Deepak
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2011-03-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:http://morthoj.org/2011v5n1/Extensive_Brown_Tumors.pdf
_version_ 1818616999840841728
author TH Low
LB Saw
MK Kwan
CYW Chan
AS Deepak
author_facet TH Low
LB Saw
MK Kwan
CYW Chan
AS Deepak
author_sort TH Low
collection DOAJ
description We report a case of end-stage renal failure in a patient who presented with acute cord compression and extensive brown tumour involving the spine, distal femur and patella. Brown tumours of the long bone, spine and pelvis have been documented previously. However, the occurrence of brown tumour in sesamoid bones such as the patella is extremely rare and is indicative of widespread lesions and severe secondary hyperparathyroidism. These tumours typically respond poorly to medical treatment alone. The acute cord compression by spinal brown tumour necessitated urgent surgical decompression while the other lesions were treated with medical treatment and surgical parathyroidectomy.
first_indexed 2024-12-16T16:58:44Z
format Article
id doaj.art-52da1b9d0dc442ac8fcdc1d99e86f85e
institution Directory Open Access Journal
issn 1985-2533
language English
last_indexed 2024-12-16T16:58:44Z
publishDate 2011-03-01
publisher Malaysian Orthopaedic Association
record_format Article
series Malaysian Orthopaedic Journal
spelling doaj.art-52da1b9d0dc442ac8fcdc1d99e86f85e2022-12-21T22:23:49ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332011-03-01516062Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case ReportTH Low0LB Saw1MK Kwan2CYW Chan3AS Deepak4MS Orth (UM)MS Orth (UM)MS Orth (UM)MS Orth (UM)FRCSWe report a case of end-stage renal failure in a patient who presented with acute cord compression and extensive brown tumour involving the spine, distal femur and patella. Brown tumours of the long bone, spine and pelvis have been documented previously. However, the occurrence of brown tumour in sesamoid bones such as the patella is extremely rare and is indicative of widespread lesions and severe secondary hyperparathyroidism. These tumours typically respond poorly to medical treatment alone. The acute cord compression by spinal brown tumour necessitated urgent surgical decompression while the other lesions were treated with medical treatment and surgical parathyroidectomy.http://morthoj.org/2011v5n1/Extensive_Brown_Tumors.pdfBrown TumourOsteoclastomaRenal FailureMyelopathy
spellingShingle TH Low
LB Saw
MK Kwan
CYW Chan
AS Deepak
Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report
Malaysian Orthopaedic Journal
Brown Tumour
Osteoclastoma
Renal Failure
Myelopathy
title Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report
title_full Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report
title_fullStr Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report
title_full_unstemmed Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report
title_short Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report
title_sort extensive brown tumors of spine distal femur and patella presenting with acute cord compression a case report
topic Brown Tumour
Osteoclastoma
Renal Failure
Myelopathy
url http://morthoj.org/2011v5n1/Extensive_Brown_Tumors.pdf
work_keys_str_mv AT thlow extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport
AT lbsaw extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport
AT mkkwan extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport
AT cywchan extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport
AT asdeepak extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport