Indian Journal of Pain

CASE REPORT
Year
: 2021  |  Volume : 35  |  Issue : 2  |  Page : 162--165

Humeroplasty for pain control in multiple myeloma


Ricardo Plancarte1, Dhanalakshmi Koyyalagunta2, Sudhir Diwan3, Karla Mota4, B Carolina Hernández-Porras4 
1 National Institute of Cancer, Mexico
2 MD Anderson Cancer Center, Houston, Texas, USA
3 Advanced Spine on Park Avenue, New York
4 Department of Pain Clinic, National Cancer Institute, Mexico

Correspondence Address:
Dr. B Carolina Hernández-Porras
San Fernando 22 Sección XVI, Tlalpan, Mexico City
Mexico

Pathological fractures in patients with primary skeletal cancer or metastases are associated with significant morbidity and poor prognosis. We present three cases of patients with osseous pain despite having received radiotherapy and multimodal analgesic management. Humeroplasty was offered to treat pain and decrease the risk of fracture. We report three patients with osseous pain secondary to osteolytic tumoral activity in the humerus and a Mirels score >7. Humeroplasty was performed under sedation and under fluoroscopy guidance. The three patients reported a decrease in pain most significantly with incidental pain and improved mobility. There were no fractures noted and no other complications. Percutaneous humeroplasty could be an option in multiple myeloma patients with impending humeral fractures, especially when the osteolytic lesion is localized in the humeral head. The procedure provided good pain relief to the patient. However, more studies should be conducted to asses efficacy and complications.


How to cite this article:
Plancarte R, Koyyalagunta D, Diwan S, Mota K, Hernández-Porras B C. Humeroplasty for pain control in multiple myeloma.Indian J Pain 2021;35:162-165


How to cite this URL:
Plancarte R, Koyyalagunta D, Diwan S, Mota K, Hernández-Porras B C. Humeroplasty for pain control in multiple myeloma. Indian J Pain [serial online] 2021 [cited 2022 Jan 19 ];35:162-165
Available from: https://www.indianjpain.org/article.asp?issn=0970-5333;year=2021;volume=35;issue=2;spage=162;epage=165;aulast=Plancarte;type=0