Pitfalls, Errors, and Unintended Consequences in Musculoskeletal Oncology: How They Occur and How They Can Be Avoided by Benjamin K. Potter, Jonathan A.

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Presentation transcript:

Pitfalls, Errors, and Unintended Consequences in Musculoskeletal Oncology: How They Occur and How They Can Be Avoided by Benjamin K. Potter, Jonathan A. Forsberg, Sheila Conway, Carol D. Morris, and H. Thomas Temple JBJS Reviews Volume 1(1):e4 November 19, 2013 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-A Axial T1-weighted fat-saturated post-gadolinium MRI showing fibromatosis of the posterior part of the thigh. Benjamin K. Potter et al. JBJS Reviews 2013;1:e4 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Axial T2-weighted MRI of the thigh of a forty-seven-year-old woman with a history of minor trauma and a presumed hematoma. Benjamin K. Potter et al. JBJS Reviews 2013;1:e4 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Clinical photograph demonstrating a transverse incision over the anterior aspect of the proximal part of the leg for the unplanned excision of a soft-tissue sarcoma (Fig. 3-A) and coronal short- tau inversion response MRI made when the patient presented for... Benjamin K. Potter et al. JBJS Reviews 2013;1:e4 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Figs. 4-A through 4-D Radiographs and clinical photographs for two similar patients who required resection of the entire involved bone following intramedullary fixation for the treatment of pathologic fractures through primary osseous sarcomas. Benjamin K. Potter et al. JBJS Reviews 2013;1:e4 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Figs. 5-A and 5-B MRI and gross specimen for another patient who had inadvertent fixation of a primary bone sarcoma, which could have been prevented through appropriate preoperative workup and biopsy. Benjamin K. Potter et al. JBJS Reviews 2013;1:e4 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the hip in a patient with metastatic renal cell carcinoma, demonstrating implant failure and pathologic fracture two years after initial radiation therapy and one year after prophylactic cephalomedullary stabilization and addit... Benjamin K. Potter et al. JBJS Reviews 2013;1:e4 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Figs. 7-A through 7-D A fifty-four-year-old woman with metastatic breast cancer underwent short cephalomedullary stabilization of a pathologic basicervical femoral neck fracture. Benjamin K. Potter et al. JBJS Reviews 2013;1:e4 ©2013 by The Journal of Bone and Joint Surgery, Inc.