title: Management of metastatic disease of other bones.
abstract: Metastases to the scapula and distal sites on the upper and lower extremities are infrequent. Although these metastases tend to occur in patients with advanced disease, a distal metastasis is occasionally the sole metastatic location. Distal metastases do not pose an immediate threat to a patient's life; however, they may cause significant pain and disability. Appropriate management can considerably enhance function, quality of life, and, occasionally, survival. Seven cases of distal metastasis are presented in this article with discussion of operative and nonoperative approaches to management.
authors.affiliation: Department of Orthopaedics, University of North Carolina, Chapel Hill, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Esther
authors.forename: G D
authors.initials: GD
authors.lastname: Bos
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D011859:Radiography; D011877:Radionuclide Imaging