Bilateral Atypical Femoral Fractures in a Patient with Multiple Myeloma Treated with Intravenous Bisphosphonate Therapy

Bisphosphonates are currently the standard approach to managing bone disease in multiple myeloma. Bisphosphonates have high bone affinity that inhibits osteoclastic activity and additionally reduces the growth factors released from malignant or osteoblastic cells, thereby impairing abnormal bone rem...

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出版年:Case Reports in Orthopedics
主要な著者: Ichiro Tonogai, Tomohiro Goto, Daisuke Hamada, Toshiyuki Iwame, Shinji Yoshioka, Takahiko Tsutsui, Yuichiro Goda, Hiroshi Egawa, Koichi Sairyo
フォーマット: 論文
言語:英語
出版事項: Wiley 2014-01-01
オンライン・アクセス:http://dx.doi.org/10.1155/2014/452418
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author Ichiro Tonogai
Tomohiro Goto
Daisuke Hamada
Toshiyuki Iwame
Shinji Yoshioka
Takahiko Tsutsui
Yuichiro Goda
Hiroshi Egawa
Koichi Sairyo
author_facet Ichiro Tonogai
Tomohiro Goto
Daisuke Hamada
Toshiyuki Iwame
Shinji Yoshioka
Takahiko Tsutsui
Yuichiro Goda
Hiroshi Egawa
Koichi Sairyo
author_sort Ichiro Tonogai
collection DOAJ
container_title Case Reports in Orthopedics
description Bisphosphonates are currently the standard approach to managing bone disease in multiple myeloma. Bisphosphonates have high bone affinity that inhibits osteoclastic activity and additionally reduces the growth factors released from malignant or osteoblastic cells, thereby impairing abnormal bone remodeling which leads to osteolysis. However, patients of multiple myeloma may be at a higher risk of atypical femoral fractures because the treatment for malignant myeloma requires notably higher cumulative doses of bisphosphonates. Here we present a patient with bilateral atypical femoral fractures and multiple myeloma treated with intravenous bisphosphonate therapy.
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spelling doaj-art-e9dba7bd52554bfab3fb523323f6b37d2025-08-20T00:48:57ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/452418452418Bilateral Atypical Femoral Fractures in a Patient with Multiple Myeloma Treated with Intravenous Bisphosphonate TherapyIchiro Tonogai0Tomohiro Goto1Daisuke Hamada2Toshiyuki Iwame3Shinji Yoshioka4Takahiko Tsutsui5Yuichiro Goda6Hiroshi Egawa7Koichi Sairyo8Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanBisphosphonates are currently the standard approach to managing bone disease in multiple myeloma. Bisphosphonates have high bone affinity that inhibits osteoclastic activity and additionally reduces the growth factors released from malignant or osteoblastic cells, thereby impairing abnormal bone remodeling which leads to osteolysis. However, patients of multiple myeloma may be at a higher risk of atypical femoral fractures because the treatment for malignant myeloma requires notably higher cumulative doses of bisphosphonates. Here we present a patient with bilateral atypical femoral fractures and multiple myeloma treated with intravenous bisphosphonate therapy.http://dx.doi.org/10.1155/2014/452418
spellingShingle Ichiro Tonogai
Tomohiro Goto
Daisuke Hamada
Toshiyuki Iwame
Shinji Yoshioka
Takahiko Tsutsui
Yuichiro Goda
Hiroshi Egawa
Koichi Sairyo
Bilateral Atypical Femoral Fractures in a Patient with Multiple Myeloma Treated with Intravenous Bisphosphonate Therapy
title Bilateral Atypical Femoral Fractures in a Patient with Multiple Myeloma Treated with Intravenous Bisphosphonate Therapy
title_full Bilateral Atypical Femoral Fractures in a Patient with Multiple Myeloma Treated with Intravenous Bisphosphonate Therapy
title_fullStr Bilateral Atypical Femoral Fractures in a Patient with Multiple Myeloma Treated with Intravenous Bisphosphonate Therapy
title_full_unstemmed Bilateral Atypical Femoral Fractures in a Patient with Multiple Myeloma Treated with Intravenous Bisphosphonate Therapy
title_short Bilateral Atypical Femoral Fractures in a Patient with Multiple Myeloma Treated with Intravenous Bisphosphonate Therapy
title_sort bilateral atypical femoral fractures in a patient with multiple myeloma treated with intravenous bisphosphonate therapy
url http://dx.doi.org/10.1155/2014/452418
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