Presentation
Fall onto left side.
Patient Data
Age: 74
Gender: Female
From the case:
Femoral bisphosphonate-related insufficiency fractures
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No fracture identified. However note the slight cortical thickening in the lateral subtrochanteric region of the right femur.
From the case:
Femoral bisphosphonate-related insufficiency fractures
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Increased uptake in the lateral subtrochanteric regions of both proximal femora.
From the case:
Femoral bisphosphonate-related insufficiency fractures
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On both sides, there are oblique subtrochanteric fractures of the femur. Note the thickening of the cortex laterally on the right at the site of the previous plain film and bone scan abnormality.
Case Discussion
The presence of atypical femoral fractures should raise suspicion that these are related to bisphosphonate use.
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