Presentation
Fall. Left hip pain. ?Fracture
Patient Data
Age: 75 years
Gender: Female
From the case:
Atypical femoral fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/140471/annotated_viewer_json?_c=1692943536\u0026lang=us"}
There is an acute, horizontally displaced fracture in the sub-trochanteric left femur. Both hips are enlocated and the pelvis is intact.
Case Discussion
Horizontal subtrochanteric fractures with a history of low-energy trauma are strongly suggestive of an atypical femoral fracture due to bisphosphonate use (which was confirmed).
The contralateral femoral shaft should be X-rayed for signs of incomplete insufficiency fracture such as focal periosteal new bone formation. This may be treated prophylactically with an intramedullary nail.
Unable to process the form. Check for errors and try again.