Hip pain after a fall…

November 12, 2013

Non-Trauma, Orthopedics, Pelvis XR, XR

Middle-aged male presents with hip pain after a fall:

Hip pain

This is a pathologic fracture.  CT showed a 12 inch tumor found infiltrating the right pelvic structures.  The pelvis xray shows that his distal femur has displaced through the acetabulum and you can see there is ill-defined destruction of the inferior pubic ramus.  He has contrast in the bladder from a prior CT at a transferring institution.  What is your differential diagnosis for this Xray?

Author:  Russell Jones, MD

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