Femoral insufficiency fractures with bisphosphonate therapy – cases studies Andrzej Boszczyk , Daniel Kowalski , Piotr Zakrzewski , Stanisław Pomianowski Ortop Traumatol Rehabil 2011; 13(4):403-408 ICID: 950418
Article type: Case report
IC™ Value: 4.37
Abstract provided by Publisher
The aim of this paper is to analyze on clinical cases specific features of femoral insufficiency fractures during bisphosphonates therapy.
Material and Methods
We are presenting two insufficiency femoral fractures (2 patients) in patients receiving bisphosphonate therapy.
These two cases represent new type of femoral fractures. These are low energy or spontaneous fractures of diaphysis and subtrochanteric region. Prodromal pain is often observed. On x-rays thick lateral cortex, its ellipsoid thickening and transverse or oblique fracture line is observed. Many authors link such fractures to long-term bisphosphonate therapy.
1. Patients on long term bisphosphonate therapy present with new and specific fracture pattern of femoral bone.
2. Fractures of this pattern are extremely rare. The risk benefit ratio of bisphosphonates therapy is not changed.
DOI 10.5604/15093492.950418 PMID 21857071 - click here to show this article in PubMed