ABSTRACT

Fractures occur in some 5-10 per cent of patients with advanced malignancy.1

In a series of 500 consecutive patients admitted to hospice under the care of one of the authors, 31 had sustained fractures. Fractures arise as a consequence of:

• metastases from the original tumour,

• other pathological causes (e.g. osteoporosis, osteomalacia, disuse osteoporosis, osteoporosis due to steroid use, bone infection),

• trauma (commonly, falls).