J Bone Metab.  2012 Nov;19(2):159-162. 10.11005/jbm.2012.19.2.159.

Insufficiency Fracture of Ipsilateral Femur Neck in Patient Treated with Long Term Bisphosphonate Treatment: A Case Report

Affiliations
  • 1Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. drlee337@naver.com

Abstract

Bisphosphonate is notable for the treatment of osteoporosis in the world. But recently if Bisphosphonate is taken for a long time, it causes an insufficiency fracture by suppression of bone turn-over and it is reported rarely on femur neck. Here we report a case of insufficiency fracture on ipsilateral femur neck in woman treated with long term Bisphosphonate therapy.

Keyword

Bisphosphonate; Femur neck; Insufficiency fracture; Osteoporosis

MeSH Terms

Female
Femur
Femur Neck
Fractures, Stress
Humans
Osteoporosis

Figure

  • Fig. 1 Initial radiograph shows a right femoral neck fracture with sclerotic superior cortex and an undisplaced linear pattern.

  • Fig. 2 Postoperative radiograph shows a well fixed 3 cannulated cancellous screws inside the femoral neck.

  • Fig. 3 Radiograph at 4 months after the operation shows union state without any complications.


Cited by  1 articles

Bilateral Femoral Neck Insufficiency Fractures after Use of a Long-term Anti-resorptive Drug Therapy for Osteoporosis: A Case Report
Dong-Ki Ahn, Jin-Hak Kim, Jae-Il Lee, Jin-Woo Kim
Hip Pelvis. 2015;27(2):115-119.    doi: 10.5371/hp.2015.27.2.115.


Reference

1. Ing-Lorenzini K, Desmeules J, Plachta O, et al. Low-energy femoral fractures associated with the long-term use of bisphosphonates: a case series from a Swiss university hospital. Drug Saf. 2009. 32:775–785.
Article
2. Lim YW, Kim YS. The medical treatment of osteoporosis. J Korean Hip Soc. 2009. 21:211–218.
Article
3. Pearce DH, White LM, Bell RS. Musculoskeletal images. Bilateral insufficiency fracture of the femoral neck. Can J Surg. 2001. 44:11–12.
4. Gurdezi S, Trehan RK, Rickman M. Bilateral undisplaced insufficiency neck of femur fractures associated with short-term steroid use: a case report. J Med Case Rep. 2008. 2:79.
Article
5. Iwamoto J, Takeda T. Insufficiency fracture of the femoral neck during osteoporosis treatment: a case report. J Orthop Sci. 2002. 7:707–712.
Article
6. Kwek EB, Goh SK, Koh JS, et al. An emerging pattern of subtrochanteric stress fractures: a long-term complication of alendronate therapy? Injury. 2008. 39:224–231.
Article
7. Odvina CV, Zerwekh JE, Rao DS, et al. Severely suppressed bone turnover: a potential complication of alendronate therapy. J Clin Endocrinol Metab. 2005. 90:1294–1301.
Article
8. Capeci CM, Tejwani NC. Bilateral low-energy simultaneous or sequential femoral fractures in patients on long-term alendronate therapy. J Bone Joint Surg Am. 2009. 91:2556–2561.
Article
9. Goh SK, Yang KY, Koh JS, et al. Subtrochanteric insufficiency fractures in patients on alendronate therapy: a caution. J Bone Joint Surg Br. 2007. 89:349–353.
10. El-Khoury GY, Wehbe MA, Bonfiglio M, et al. Stress fractures of the femoral neck: a scintigraphic sign for early diagnosis. Skeletal Radiol. 1981. 6:271–273.
Article
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