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Dr. W. H. Harris: A 59-year-old female was admitted to the Massachusetts General Hospital complaining of sharp pain and tenderness in her left thigh. She was known to have had Paget's disease for many years. Six hours prior to admission, when the patient rose from a chair, her left leg twisted under her. She did not fall, but she experienced the sudden onset of sharp pain in the proximal portion of her left thigh. The remaining history was not remarkable.
Physical examination showed diffuse enlargement of the skull. There was tenderness and swelling in the subtrochanteric region of the left thigh. There was marked bowing of the left femur, tibia, and fibula, and edema of the left foot and ankle. Otherwise, she was in good general health. Admission laboratory data were not remarkable. X-ray films demonstrated extensive Paget's disease involving the skull, dorsal spine, lumbar spine, pelvis, left femur, left
Aufranc OE. Subtrochanteric Fracture in a Patient with Paget's Disease. JAMA. 1961;177(13):908–911. doi:10.1001/jama.1961.73040390006006