Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature Review
We report, to the best of our knowledge, the first case of simultaneous insufficiency fracture of the bilateral femoral neck in an older patient taking bisphosphonate. Femoral neck fractures frequently occur in older individuals because of traumatic incidents, such as a fall. A 74-year-old woman wit...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2022/9294289 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554800305143808 |
|---|---|
| author | Hiroaki Tagomori Nobuhiro Kaku Shota Sato Tsuguaki Hosoyama Hiroshi Tsumura |
| author_facet | Hiroaki Tagomori Nobuhiro Kaku Shota Sato Tsuguaki Hosoyama Hiroshi Tsumura |
| author_sort | Hiroaki Tagomori |
| collection | DOAJ |
| description | We report, to the best of our knowledge, the first case of simultaneous insufficiency fracture of the bilateral femoral neck in an older patient taking bisphosphonate. Femoral neck fractures frequently occur in older individuals because of traumatic incidents, such as a fall. A 74-year-old woman with osteoporosis was taking raloxifene hydrochloride and bisphosphonate for approximately 5 and 3 years, respectively. Despite no history of falls or any other traumatic incidence, the patient reported cooccurrence of pain on both sides of the hip. Imaging revealed bilateral femoral neck fractures. Bipolar hemiarthroplasty and internal fixation were conducted on the right and left hips, respectively. At 6 months postoperatively, the patient reported gradual disappearance of left hip pain, and a radiograph revealed that the fracture had healed. Overall, clinical and histological findings suggested an atypical fracture, thereby proving that this type of fracture can occur in areas other than the femoral shaft. |
| format | Article |
| id | doaj-art-e1d0d67c94274073b54131acba4c839f |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-e1d0d67c94274073b54131acba4c839f2025-02-03T05:50:31ZengWileyCase Reports in Orthopedics2090-67572022-01-01202210.1155/2022/9294289Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature ReviewHiroaki Tagomori0Nobuhiro Kaku1Shota Sato2Tsuguaki Hosoyama3Hiroshi Tsumura4Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryWe report, to the best of our knowledge, the first case of simultaneous insufficiency fracture of the bilateral femoral neck in an older patient taking bisphosphonate. Femoral neck fractures frequently occur in older individuals because of traumatic incidents, such as a fall. A 74-year-old woman with osteoporosis was taking raloxifene hydrochloride and bisphosphonate for approximately 5 and 3 years, respectively. Despite no history of falls or any other traumatic incidence, the patient reported cooccurrence of pain on both sides of the hip. Imaging revealed bilateral femoral neck fractures. Bipolar hemiarthroplasty and internal fixation were conducted on the right and left hips, respectively. At 6 months postoperatively, the patient reported gradual disappearance of left hip pain, and a radiograph revealed that the fracture had healed. Overall, clinical and histological findings suggested an atypical fracture, thereby proving that this type of fracture can occur in areas other than the femoral shaft.http://dx.doi.org/10.1155/2022/9294289 |
| spellingShingle | Hiroaki Tagomori Nobuhiro Kaku Shota Sato Tsuguaki Hosoyama Hiroshi Tsumura Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature Review Case Reports in Orthopedics |
| title | Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature Review |
| title_full | Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature Review |
| title_fullStr | Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature Review |
| title_full_unstemmed | Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature Review |
| title_short | Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature Review |
| title_sort | contemporaneous insufficiency fractures of bilateral femoral necks in an older patient taking bisphosphonate a case report and literature review |
| url | http://dx.doi.org/10.1155/2022/9294289 |
| work_keys_str_mv | AT hiroakitagomori contemporaneousinsufficiencyfracturesofbilateralfemoralnecksinanolderpatienttakingbisphosphonateacasereportandliteraturereview AT nobuhirokaku contemporaneousinsufficiencyfracturesofbilateralfemoralnecksinanolderpatienttakingbisphosphonateacasereportandliteraturereview AT shotasato contemporaneousinsufficiencyfracturesofbilateralfemoralnecksinanolderpatienttakingbisphosphonateacasereportandliteraturereview AT tsuguakihosoyama contemporaneousinsufficiencyfracturesofbilateralfemoralnecksinanolderpatienttakingbisphosphonateacasereportandliteraturereview AT hiroshitsumura contemporaneousinsufficiencyfracturesofbilateralfemoralnecksinanolderpatienttakingbisphosphonateacasereportandliteraturereview |