CANCER REHABILITATION-BONE INVOLVEMENT

SUMMARY

1. The most consistent symptom is pain that is most severe at night or upon weight bearing.
2. In patients with spinal involvement, pain may be worse lying down and improves with sitting.

SITES

3. Skeletal metastases are rarely solitary, usually involving the axial skeleton, proximal femur, and humerus.
4. 70% of spinal metastases occur in the thoracic spine.
5. 95% are extradural in origin and involve the vertebral body anterior to the spinal canal.

FRACTURE SITES
6. Pathologic fractures occur in 10% to 30% of patients with bone lesions.

7. The proximal femur is the most common site of pathological fractures.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.