Endoprótese não convencional no tratamento das neoplasias diafisárias do úmero

Authors

  • Caio Henrique Vilella Santin Hospital do Servidor Estadual de São Paulo
  • Bruno Marcus Gonçalves Costa Hospital do Servidor Estadual de São Paulo
  • Igor Moreira Mello Hospital do Servidor Estadual de São Paulo
  • Marcello Martins de Souza Hospital do Servidor Estadual de São Paulo
  • Marcos Hajime Tanaka Hospital do Servidor Estadual de São Paulo

Keywords:

diaphyseal endoprosthesis, humerus, pathological fracture, multiple myeloma, bone tumor

Abstract

Humeral diaphysis is a uncommon site of bone tumor lesions, which can cause pain, disability, functional limitation of the upper limb and pathological fracture, often requiring surgical treatment. In this article, the authors report a treatment option with an unconventional humeral diaphyseal endoprosthesis, showing the surgical steps, main indications and the functional result.

Downloads

Download data is not yet available.

Author Biographies

Caio Henrique Vilella Santin, Hospital do Servidor Estadual de São Paulo

Médico Residente de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Marcello Martins de Souza, Hospital do Servidor Estadual de São Paulo

Médico Assistente do Grupo de Tumor Ortopédico do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Marcos Hajime Tanaka, Hospital do Servidor Estadual de São Paulo

Chefe do Grupo de Tumor Ortopédico do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

References

Rajkumar SV, Dimopoulos MA, Palumbo A, Blade J, Merlini G, Mateos MV, et al. International Myeloma Working Group updated riteria for the diagnosis of multiple myeloma. Lancet Oncol. 2014;15(12):e538-48.

Rajkumar SV. Multiple myeloma: 2014 update on diagnosis, risk-stratification, and management. Am J Hematol. 2014; 9(10):999-1009.

Flemming JE, Beals RK. Pathologic fracture of the humerus. Clin Orthop Relat Res. 1986;(203):258-60.

Tanaka MH, Sakabe N, Souza MM, Magri EA, Pereira RR. Endoprótese não convencional no tratamento das neoplasias diafisárias do úmero. Tec Ortop. 2006;6(1):22-30.

Frassica FJ, Frassica DA. Evaluation and treatment of metástases to the humerus. Clin Orthop Relat Res. 2003;(415 Suppl):S212-8.

Kyle RA, Gertz MA, Witzig TE, Lust JA, Lacy MQ, Dispenzieri A, et al. Review of 1027 patients with newly diagnosed multiple myeloma. Mayo Clin Proc. 2003;78(1):21-33.

Hungria VTM. Doença óssea em Mieloma Múltiplo. Rev Bras Hematol Hemoter. 2007;29(1):60-6.

Damron TA, Sim FH, Shives TC, An KN, Rock MG, Pritchard DJ. Intercalary spacers in the treatment of segmentally destructive diaphyseal humeral lesions in disseminated malignancies. Clin Orthop Relat Res. 1996;(324):233-43.

Scheerlinck T, Handelberg F. Functional outcome after intramedullary nailing of humeral shaft fractures: comparison between retrograde Marchetti-Vicenzi and unreamed AO antegrade nailing. J Trauma. 2002;52(1):60-71.

Mangan P. Recognizing multiple myeloma. Nurse Pract. 2005; 30(3):14-27.

Woolfenden JM, Pitt MJ, Durie BG, Moon TE. Comparison of bone scintigraphy and radiography in multiple myeloma. Radiology. 1980;134(3):723-8.

Hofbauer LC. Osteoprotegerin ligand and osteoprotegerin: novel implications for osteoclast biology and bone metabolism. Eur J Endocrinol. 1999;141(3):195-210.

Lacey DL, Timms E, Tan HL, Kelley MJ, Dunstan CR, Burgess T, et al. Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell. 1998;93(2):165-76.

Blum J, Janzing H, Gahr R, Langendorff HS, Rommens PM. Clinical performance of a new medullary humeral nail: antegrade versus retrograde insertion. J Orthop Trauma. 2001;15(5):342-9.

Wedin R, Bauer HC, Wersäll P. Failures after operation for skeletal metastatic lesions of long bones. Clin Orthop Relat Res. 1999;(358):128-39.

Published

2020-03-13

How to Cite

1.
Santin CHV, Costa BMG, Mello IM, Souza MM de, Tanaka MH. Endoprótese não convencional no tratamento das neoplasias diafisárias do úmero. RTO [Internet]. 2020 Mar. 13 [cited 2024 Sep. 19];20(2):7-12. Available from: https://rto.emnuvens.com.br/revista/article/view/120

Issue

Section

Artigos