Atypical femoral fracture: Difference between revisions
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* Screen for contralateral femoral fracture |
* Screen for contralateral femoral fracture |
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== Clinical |
== Clinical Manifestations == |
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* Anterior thigh or groin pain |
* Anterior thigh or groin pain |
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Latest revision as of 10:15, 20 July 2020
Definition
- Low-impact fracture, usually subtrochanteric and femoral shaft (i.e. below the femoral neck), related to long-term bisphosphonate use
Risk Factors
- Long-term antiresorptive therapy, such as bisphosphonate therapy
Investigations
- Screen for contralateral femoral fracture
Clinical Manifestations
- Anterior thigh or groin pain
- Fall is often preceded by a snap or break
- Can be bilateral---screen!
Management
- Stop bisphosphonate or other antiresorptive treatment
- Consider starting teriparatide (Forteo)
- Assess for surgery
