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Paget's disease is very rare in EGYPT
This 55 y old lady was treated for leg pain by a G P who gave her NSAIDS for several weeks.
The beginning of the stress fracture on the anterior cortex is barely visible on this X ray.
After a minor twist, the fracture became complete and the patient came to me
An above knee cast was applied and antiresorptive drugs given.
This is after 4 months showing complete union.

I never saw her again.
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