Pathological Fracture may be the first and only clinical sign of an underlying bone tumor, suspicion should be aroused if: (AIPG 2011)
|A||If the trauma causing the fracture is insignificant|
|B||If the fracture at the cortico cancellous junction|
|C||If there is severe pain|
|D||If there is concomitant head injury|
If the trauma causing the fracture is insignificant
Clinical suspicion should be aroused if the trauma causing the injury was slight, if the patient is elderly suspicion should be around if the bone breaks mid shaft rather than at the corticocancellous junction.