Pathological fracture in neoplastic disease, shoulder
ICD-10 M84.51 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, shoulder.
A pathological fracture in the context of neoplastic disease occurs when a bone breaks due to the weakening of the bone structure caused by a tumor, either benign or malignant. In the case of the shoulder, this can involve the humerus or scapula, where the presence of a neoplasm compromises the integrity of the bone. Patients with conditions such as metastatic cancer, multiple myeloma, or primary bone tumors may experience these fractures. The underlying mechanism often involves the tumor's direct invasion of the bone, leading to localized bone destruction, or the production of substances that affect bone metabolism, resulting in decreased bone density. This condition is particularly concerning in patients with osteoporosis or other bone density disorders, as their bones are already weakened. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to confirm the fracture and assess the extent of the neoplastic involvement. Treatment may include surgical intervention, radiation therapy, or pharmacological management to address both the fracture and the underlying neoplastic disease.
Detailed history of the neoplastic disease, including type, stage, and treatment history.
Patients with metastatic breast cancer presenting with shoulder pain and subsequent imaging revealing a pathological fracture.
Ensure that the relationship between the neoplasm and the fracture is clearly documented.
Comprehensive assessment of the fracture, including imaging results and treatment plans.
Patients with a known history of bone metastases presenting with acute shoulder pain and fracture.
Document the mechanism of injury and any prior treatments that may affect bone integrity.
Used when a patient with a pathological fracture requires joint aspiration for pain management.
Document the reason for aspiration and any imaging studies performed.
Orthopedic specialists should ensure that the fracture is documented as part of the treatment plan.
A pathological fracture occurs due to underlying disease processes, such as neoplasms, that weaken the bone, while a traumatic fracture results from an external force or injury.
