Atypical incomplete femoral neck fracture in patients taking long-term bisphosphonate Case report, a report of 2 cases
DC Field | Value | Language |
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dc.contributor.author | Suh, You-Sung | - |
dc.contributor.author | Jang, Byung-Woong | - |
dc.contributor.author | Nho, Jae-Hwi | - |
dc.contributor.author | Won, Sung-Hun | - |
dc.contributor.author | Lee, Won-Seok | - |
dc.date.accessioned | 2021-08-11T10:23:31Z | - |
dc.date.available | 2021-08-11T10:23:31Z | - |
dc.date.issued | 2019-03 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.issn | 1536-5964 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4674 | - |
dc.description.abstract | Rationale: We present 2 cases of lateral incomplete impending fracture of the femoral neck without trauma in elderly patients taking long-term bisphosphonate (BP) treatment, and we defined it as atypical femoral neck fracture (AFNF). To the best of our knowledge, this is the first report on the follow-up results of AFNF. Patient concerns: Patients in both cases had been taking BP drugs for a long time with osteoporosis. The duration of BP treatment was 6 years, and there was no history of repeated stresses. Diagnoses: All fractures were linear at the lateral aspect of the mid portion of the femoral neck, and the BMD of the femoral neck was -0.9, and -1.8, respectively. Interventions: Internal fixation was performed in both cases (73 years, 68 years) using cannulated screws. Outcomes: In both patients who underwent screw fixation, the fracture line started to extend distally at 4 weeks and 2 weeks following surgery. In the 3-month follow-up image, the length of the fracture increased by 20.1 mm and 9.9 mm, respectively. There was a problem with active rehabilitation, and the possibility of revision was also found to be a burden in terms of mortality and cost in older patients. Lessons: In the case of AFNF, guidelines for treatment should be set in consideration of the decreased bone healing, even when the fracture pattern is simple. Arthroplasty based on a wider indication may be worth considering. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Lippincott Williams & Wilkins Ltd. | - |
dc.title | Atypical incomplete femoral neck fracture in patients taking long-term bisphosphonate Case report, a report of 2 cases | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1097/MD.0000000000014701 | - |
dc.identifier.scopusid | 2-s2.0-85062395968 | - |
dc.identifier.wosid | 000462397400047 | - |
dc.identifier.bibliographicCitation | Medicine, v.98, no.9 | - |
dc.citation.title | Medicine | - |
dc.citation.volume | 98 | - |
dc.citation.number | 9 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | SUPPRESSED BONE TURNOVER | - |
dc.subject.keywordPlus | MICRODAMAGE ACCUMULATION | - |
dc.subject.keywordPlus | BIOMECHANICAL PROPERTIES | - |
dc.subject.keywordPlus | FEMUR FRACTURES | - |
dc.subject.keywordAuthor | atraumatic | - |
dc.subject.keywordAuthor | atypical | - |
dc.subject.keywordAuthor | bisphosphonate | - |
dc.subject.keywordAuthor | femoral neck fracture | - |
dc.subject.keywordAuthor | osteoporosis | - |
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