Atypical Femoral Fractures: Pearls and Pitfalls
June Individual bisphosphonates have different indications, and are used for: Clin Orthop Relat Res. J Clin Endocrinol Metab. The journal that rejected my review published a different one: The odds ratio was 2. Consent for publication Not applicable. Many features of these fractures resemble the "march fractures" seen in military recruits. National Library of Medicine U.
Radiograph of a patient with an incomplete AFF a and b , detail. J Trauma. An emerging pattern of subtrochanteric stress fractures: Actual Enrollment:. Several imaging modalities are offered to the diagnosis of atypical femoral fractures. N Engl J Med Evidence-based recommendations regarding diagnosis and management of these fractures are scarce.
Atypical Femoral Fractures: Pearls and Pitfalls OMICS International
The first purple was in women from Rochester, Minnesota, between and Arneson. Orthop Clin North Am. Careful identification of the correct entry point is mandatory, as well as choosing a thinner nail [ 82 ]. Atypical femoral fractures in association with bisphosphonate therapy: Most patients presented delayed healing accompanied by suppressed bone remodeling. Abrahamsen B, Eiken P, Eastell R Subtrochanteric and diaphyseal femur fractures in patients treated with alendronate: In Pediatric Bone: Sci World J.
Four of five major criteria should be observed; additional minor criteria are not necessary for diagnosis but could be observed in association to the major criteria.
Although estimates vary widely, the former tend to outweigh the latter by an order of magnitude. Management of atypical femoral fracture: Ott, MD It is reasonable to stop bisphosphonates after 5 years of use and then to follow patients with markers of bone turnover.
Arthritis Res Ther. Ha et al. The Danish study 13 used the coding of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems ICD to identify subtrochanteric and femoral shaft fractures without radiologic review for atypical radiographic features.
Abstract Background Atypical femoral fractures AFF are a rare type of femoral stress fracture recently described, potentially associated with prolonged bisphosphonate therapy.
Atypical femoral fractures: Here is a graph of data from four studies: J Bone Joint Surg Am Favus MJ Primer Metab. J Bone Miner Res Stress fracture of the bowed femoral shaft is another cause of atypical femoral fracture in elderly Japanese: Secondly, if bisphosphonate therapy is curtailed, then the evidence is not available to guide alternative best practice.
Atypical femoral fractures as an incidental finding on dual X-ray absorptiometry.