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Pathological fracture of the femoral shaft in a case of Servelle–Martorell syndrome (phleboeclatic osteohypoplastic angiodysplasia with associated arterio-venous malformation)

North Manchester General Hospital, Crumpsall, Manchester, Newcastle-upon-Tyne ^* University Department of Orthopaedics, Royal Victoria Infirmary, Newcastle-upon-Tyne

This excerpt was created in the absence of an abstract.

A case is presented of a pathological femoral shaft fracture in a 47-year-old woman with a rare form of skeletal angiodysplasia (Servelle–Martorell syndrome). A simple classification of bony changes in congenital skeletal angiodysplasia is included with a literature review.

A 47-year-old woman presented to the Accident and Emergency Department having tripped and fallen in the street whilst shopping. The patient had walked with a limp since childhood because of a "short" left leg. A mole had been removed from her left thigh at the age of 9 years. Examination of the left lower limb demonstrated a clinical fracture of the left femoral shaft, 1.5 cm shortening of the left tibia and extensive varicosities with palpable fluid thrill.

Received for publication August 1, 1989. Revision received November 1, 1989.

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