They are noncomminuted complete fractures with transverse or short oblique orientation or incomplete manifested with a radiolucent line within the lateral cortex and are related with low energy trauma or no trauma at all. According to the ASBMR Task Force paper in 2010, the most common location of the atypical femoral fractures is the proximal one-third of the femoral shaft, but they can also occur anywhere along the diaphysis of the femur from just distal to the lesser trochanter to just proximal to the supracondylar flare of the distal femoral diaphysis. On the other hand, other studies suggest that there is no increase in atypical fractures in bisphosphonate users. in 2012, suggested that the risk for atypical femoral fractures is 1,78/100.000 person-years in patients receiving bisphosphonates for 6-8 years. However, many cases of atypical femoral fractures have been described after long-term use of bisphosphonates. Bisphosphonates are also indicated in osteoporotic men with great fracture risk. Their effectiveness is indicated by reports that demonstrate up to 50% reduction of vertebral fracture risk and 20-50% of femoral neck fracture risk. Therapy with most bisphosphonates has shown to reduce the risk of vertebral, non-vertebral and hip fractures in women with postmenopausal osteoporosis and are often considered to be the first choice of treatment. That can lead to disability, poor quality of life and mortality. Osteoporosis is a common disease in the elderly, associated with a great fracture risk. Key wordsīisphosphonates, atypical femoral fracture, osteoporosis treatment Introduction Treatment consisted of discontinuation of bisphosphonates, intra-medullary nailing of the right femur and conservative treatment of the left side. Thus, our patient had a complete fracture on the right side and an incomplete one, represented by lateral cortex thickening on the left. Her past medical history of osteoporosis treated with alendronate for six years along with symptoms in the contra-lateral thigh for the past 2 years, lead to imaging of the left femur.
In this paper we report the case of a 75-year-old woman who sustained an atypical right femur fracture while walking. They are related to minimal, or no trauma at all, but symptoms do pre-exist long before the gross fracture actually takes place. Their morphology is simple, transverse or short oblique. They usually occur in the proximal third of the femur, and may be complete or incomplete, manifesting either like a radiolucent line or just thickening of the lateral cortex. These have a characteristic pattern and history. Nevertheless, long term bisphosphonate use has been linked with atypical femur fractures. Bisphosphonates are efficient and have been widely used in the treatment of osteoporosis. Upon joining Super Rugby, he spoke about the fulfilment of a long-time ambition.Osteoporosis is a common disease in the elderly, correlated with increased fracture risk, disability and mortality. He also won five England caps and amassed 57 points for his country, but found opportunities limited by the presence of George Ford and Owen Farrell. It was his second stint with the Tigers, having also played for Gloucester, Bath, and Toyota Industries in Japan.
Regardless, it is almost certainly a season ending injury for Burns, who joined on the back of providing Leicester's golden moment last year, nailing a 79th minute drop goal to seal glory in their 2022 Gallagher Premiership final against Saracens. Just got to recover well, attack the rehab and with a bit of luck be running around again by the end of April!" "Count myself pretty lucky after watching the footage back. "Gutted to be facing a bit of time on the sideline with an anterior tibial plateau fracture but these things happen in rugby," he wrote on Instagram. England star Ollie Chessum in World Cup blow after being ruled out for up to six months
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