title: A subtrochanteric femoral fracture 15 years after radiotherapy: a case report.
abstract: Pathological fracture is a rare but serious complication of radiotherapy. We report on a 44-year-old man who presented with a subtrochanteric femoral fracture 15 years after radiotherapy for a soft-tissue sarcoma in the thigh. We discuss its potential causes, a scoring system to identify high-risk patients for prophylactic intramedullary nailing of the femur, and radiographic signs to identify an impending insufficiency fracture.
authors.affiliation: Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
authors.forename: Harish
authors.initials: H
authors.lastname: Sivasubramanian
authors.forename: Gerard
authors.initials: G
authors.lastname: Ee
authors.forename: Manjunatha Ganiga
authors.initials: MG
authors.lastname: Srinivasaiah
authors.forename: Shamal
authors.initials: S
authors.lastname: Das De
mesh_terms: D000328:Adult; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006620:Hip Fractures / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011878:Radiotherapy / Q000009:adverse effects*; D012509:Sarcoma / Q000532:radiotherapy; D012983:Soft Tissue Neoplasms / Q000532:radiotherapy
keywords: fractures, spontaneous; hip fractures; radiotherapy; sarcoma