Symptomatic metastatic bone disease treated with dynamic screw and intramedullary nail

A frog leg lateral radiograph (A) in a 57-year-old woman with hip pain and lung carcinoma shows a large lytic lesion (asterisk) in the lesser trochanter of the right femur without an obvious pathological fracture. Image B is a magnified view of the lytic lesion (asterisk) involving the lesser trochanter and proximal shaft. Image C is a postoperative A-P radiograph following placement of a compression screw and intramedullary nail.