Spontaneous Subtrochanteric Femoral Stress Fracture Related to Alendronate : A Case Report

Spontaneous atypical fractures of the femur have been reported in patients on long-term antiresorptive bisphosphonate therapy. Here, we report a case of subtrochanteric stress fracture in a seventy-year-old female patient on long-term alendronate therapy, and accompanying management challenges. Pote...

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Bibliographic Details
Main Authors: Paul CC Chew, B Julaihi, ZA Ibrahim
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2013-03-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:http://www.morthoj.org/2013/v7n1/femoral-stress-fracture.pdf
Description
Summary:Spontaneous atypical fractures of the femur have been reported in patients on long-term antiresorptive bisphosphonate therapy. Here, we report a case of subtrochanteric stress fracture in a seventy-year-old female patient on long-term alendronate therapy, and accompanying management challenges. Potential measures to prevent this complication of antiresorptive treatment for osteoporosis include the following: setting strict criteria for prescribing antiresorptive therapy, limiting the duration of continuous antiresorptive therapy, and increasing the use of bone anabolic agents.
ISSN:1985-2533