. Sixty-one year old male with history of joint pain, weakness, and multiple fractures. OrthopaedicsOne Cases. In: OrthopaedicsOne - The Orthopaedic Knowledge Network. Created Sep 15, 2008 12:18. Last modified Apr 17, 2011 22:27 ver.20. Retrieved 2019-03-22, from https://www.orthopaedicsone.com/x/BoG9.
HPI: 61 y/o male with seven year history of progressive hip, knee and shoulder pain. 3 ½ years ago he became confined to a wheelchair due to chronic pain, weakness and multiple pathologic fractures. Prior to seven years ago he was healthy and employed as an electrician. No history of musculoskeletal problems prior to seven years ago.
Medical Hx: Good health. He is a Syrian who was born in Iran and moved to the U.S. in 1973. No prior surgeries. He smokes 1.5 ppd x 30 years and eats a healthy diet.
No family history of metabolic bone disease
Medications: Vicodin 7.5/500 2-3 tab bid, Morphine ER 30 mg 1.5 tab qd.
Initial imaging studies are shown below
What is the differential diagnosis?
Diagnosis (Click to see answer)