Simultaneous Bilateral Insufficiency Femoral Fractures After Long-Term Alendronate Treatment: A Lesson Not Yet Learned.

alendronate atypical fractures bilateral bisphosphonates insufficiency femoral fractures simultaneous

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jan 2023
Historique:
accepted: 19 01 2023
entrez: 23 2 2023
pubmed: 24 2 2023
medline: 24 2 2023
Statut: epublish

Résumé

Bisphosphonates have recently been used as a first-line treatment for osteoporosis. However, prolonged bisphosphonate use may be associated with insufficiency and atypical femoral fractures. In this case report, we present a patient with simultaneous bilateral insufficiency femoral fractures after using alendronate for 11 years, which were treated surgically. Our patient also had a history of a previous right femoral atypical fracture eight years before the latest ones, while on 3-year alendronate treatment. To our knowledge, it is the first patient reported with three atypical - insufficiency fractures covering all the anatomical areas of the proximal half of the femur after long-term bisphosphonate treatment.

Identifiants

pubmed: 36814732
doi: 10.7759/cureus.33956
pmc: PMC9939954
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e33956

Informations de copyright

Copyright © 2023, Rigkos et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Dimitrios Rigkos (D)

1st Trauma and Orthopaedics Department, 424 General Military Training Hospital, Thessaloniki, GRC.

Ioannis Savvidis (I)

1st Trauma and Orthopaedics Department, 424 General Military Training Hospital, Thessaloniki, GRC.

Alexia Bisbinas (A)

Internal Medicine Department, University of Pavia, Pavia, ITA.

Georgios Markopoulos (G)

1st Trauma and Orthopaedics Department, 424 General Military Training Hospital, Thessaloniki, GRC.

Ilias Bisbinas (I)

1st Trauma and Orthopaedics Department, 424 General Military Training Hospital, Thessaloniki, GRC.

Classifications MeSH