Why this 'bubbly' bone won’t come out in the wash
When these ‘soap bubbles’ showed up on an X-ray of a patient’s femur, they were a sign he had anything but a clean bill of health.
The 37-year-old man presented to an orthopaedic clinic with progressive difficulty walking. He had haemophilia type A and a history of inadequate factor VIII replacement therapy.
Ten years earlier, the patient had fractured his left femoral shaft. A resultant malunion was managed without surgery.
Since then, he had experienced repeated episodes