Subtrochanteric femoral fracture - bisphosphonate related

Case contributed by Dr Patsy Robertson

Presentation

78 year old female, thigh pain following a fall from a car

Patient Data

Age: 78
Gender: Female

Displaced subtrochanteric fracture of the left femur. The left hip is enlocated. Note is made of the widening of the lateral cortex proximal and distal to the fracture. Incompletely imaged right femoral gamma nail.

Case Discussion

The subtrochanteric region is a less common site for fragility fractures but a more common site for fractures in those who have been on long term bisphosphonates (> 5 years). Thickening of the cortex is a feature seen in stress fractures. Involvement of the lateral cortex is more typical with bisphosphonate related fractures whereas stress fractures associated with osteomalacia tend to involve the medial cortex.

PlayAdd to Share

Case Information

rID: 30045
Case created: 15th Jul 2014
Last edited: 26th Nov 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.