Spontaneous Subtrochanteric Femoral Stress Fracture Related to Alendronate : A Case Report
Journal Title: Malaysian Orthopaedic Journal - Year 2013, Vol 7, Issue 1
Abstract
Spontaneous atypical fractures of the femur have been reported in patients on long-term antiresorptive bisphosphonate therapy. Here, we report a case of subtrochanteric stress fracture in a seventy-year-old female patient on long-term alendronate therapy, and accompanying management challenges. Potential measures to prevent this complication of antiresorptive treatment for osteoporosis include the following: setting strict criteria for prescribing antiresorptive therapy, limiting the duration of continuous antiresorptive therapy, and increasing the use of bone anabolic agents.
Authors and Affiliations
Paul CC Chew, B Julaihi, ZA Ibrahim
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