Atypical Femoral Fracture in a Patient with Rheumatoid Arthritis.
10.3904/kjm.2014.87.2.240
- Author:
Dam KIM
1
;
Sodam JUNG
;
Chang Nam SON
;
Ji Young CHOI
;
Seunghun LEE
;
Yee Suk KIM
;
Yoon Kyoung SUNG
Author Information
1. Department of Rheumatology, Hospital for Rheumatic Diseases, Hanyang University College of Medicine, Seoul, Korea. sungyk@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Femoral fracture;
Arthritis, Rheumatoid;
Alendronate
- MeSH:
Alendronate;
Arthritis, Rheumatoid*;
Buttocks;
Diphosphonates;
Female;
Femoral Fractures*;
Femur;
Fractures, Stress;
Hip;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Radiography;
Radionuclide Imaging
- From:Korean Journal of Medicine
2014;87(2):240-244
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Atypical femoral fractures are characterized by a subtrochanteric or diaphyseal location. Recent studies have suggested that long-term treatment with bisphosphonates might be associated with the occurrence of atypical femoral fractures. The present report describes a case involving a 60-year-old woman with left buttock pain that was unassociated with trauma. Her hip pain was initially considered to be a symptom of her underlying rheumatoid arthritis, but a plain radiography, bone scintigraphy, and magnetic resonance imaging revealed an insufficiency fracture in the lateral shaft of the left proximal femur. She had been treated with a bisphosphonate for 4.5 years because of a previous vertebral fracture. Her chronic, long-term rheumatoid arthritis and history of bisphosphonate administration were considered to be associated with the development of her atypical femoral fracture.
