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A case of stress fracture: What is the underlying cause?

Yıl 2020, Cilt: 3 Sayı: 1, 43 - 45, 21.04.2020
https://doi.org/10.33713/egetbd.680186

Öz

Stress fractures are encountered commonly in clinical practice. Many features of stress fractures are in common, but the differences depend on the condition of the underlying bone. The clinician should approach according to the type of stress fracture. We report a 71-year-old female patient with osteoporosis, who had been taking prolonged bisphosphonate therapy and a single dose denosumab, sustained bilateral atypical femoral fractures (AFF) eight months apart.

Kaynakça

  • References 1.McKenna MJ, Heffernan E, Hurson C, McKiernan FE. Clinician approach to diagnosis of stress fractures including bisphosphonate-associated fractures. QJM 2014 Feb; 107(2): 99-105. 2.Shane E, Burr D, Abrahamsen B, et al. Atypical subtrochanteric and diaphyseal femoral fractures: second report of a task force of the American Society for Bone and Mineral Research. J Bone Miner Res 2014; 29(1): 1-23. 3. Butler I,Tipping B, Bhaga R. Atypical femoral fractures. JEMDSA 2013; 18(2): 125-127. 4. Dell R, Greene D, Ott SM, Silverman S, Eisemon E, Funahashi T, et al. A retrospective analysis of all atypical femur fractures seen in a large California HMO from the years 2007 to 2009. J Bone Miner Res. 2010; 25: 61. 5. Dell R, Greene D. A proposal for an atypical femur fracture treatment and prevention clinical practice guideline. Osteoporos Int. 2018 Jun;29(6):1277-1283 6. Silverman S, Kupperman E, Bukata S. Bisphosphonate-related atypical femoral fracture: Managing a rare but serious complication. Cleve Clin J Med 2018 Nov; 85(11): 885-893 7. Dell RM, Greene D, Tran D. Stopping bisphosphonate treatment decreases the risk of having a second atypical femoral fracture. Paper presented at: American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting 2012 Feb 7-11; San Francisco, CA, USA. 8. Min BW, Koo KH, Park YS, Oh CW, Lim SJ, Kim JW, et al. Scoring System for Identifying Impending Complete Fractures in incomplete Atypical Femoral Fractures. J Clin Endocrinol Metab 2017; 102(2): 545-50.

Bir stres kırığı olgusu: Altta yatan neden nedir?

Yıl 2020, Cilt: 3 Sayı: 1, 43 - 45, 21.04.2020
https://doi.org/10.33713/egetbd.680186

Öz

Stres kırıklarına klinik pratikte sıkça rastlanılmaktadır. Stres kırıklarının birçok özelliği ortaktır, ancak altta yatan kemiğin durumuna bağlı olarak farklılıklar vardır. Klinisyen stres kırığı tipine göre yaklaşımda bulunmalıdır. Bu makalede uzun süreli bifosfonat tedavisi ve tek doz denosumab alan, sekiz ay arayla bilateral atipik femoral kırığı gelişmiş 71 yaşında osteoporozlu bir kadın hastayı sunuyoruz.

Kaynakça

  • References 1.McKenna MJ, Heffernan E, Hurson C, McKiernan FE. Clinician approach to diagnosis of stress fractures including bisphosphonate-associated fractures. QJM 2014 Feb; 107(2): 99-105. 2.Shane E, Burr D, Abrahamsen B, et al. Atypical subtrochanteric and diaphyseal femoral fractures: second report of a task force of the American Society for Bone and Mineral Research. J Bone Miner Res 2014; 29(1): 1-23. 3. Butler I,Tipping B, Bhaga R. Atypical femoral fractures. JEMDSA 2013; 18(2): 125-127. 4. Dell R, Greene D, Ott SM, Silverman S, Eisemon E, Funahashi T, et al. A retrospective analysis of all atypical femur fractures seen in a large California HMO from the years 2007 to 2009. J Bone Miner Res. 2010; 25: 61. 5. Dell R, Greene D. A proposal for an atypical femur fracture treatment and prevention clinical practice guideline. Osteoporos Int. 2018 Jun;29(6):1277-1283 6. Silverman S, Kupperman E, Bukata S. Bisphosphonate-related atypical femoral fracture: Managing a rare but serious complication. Cleve Clin J Med 2018 Nov; 85(11): 885-893 7. Dell RM, Greene D, Tran D. Stopping bisphosphonate treatment decreases the risk of having a second atypical femoral fracture. Paper presented at: American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting 2012 Feb 7-11; San Francisco, CA, USA. 8. Min BW, Koo KH, Park YS, Oh CW, Lim SJ, Kim JW, et al. Scoring System for Identifying Impending Complete Fractures in incomplete Atypical Femoral Fractures. J Clin Endocrinol Metab 2017; 102(2): 545-50.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Olgu Sunumu
Yazarlar

Yakup Erden 0000-0003-3742-9903

Muhammed Şahin 0000-0001-8895-1019

Yayımlanma Tarihi 21 Nisan 2020
Kabul Tarihi 10 Mart 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 3 Sayı: 1

Kaynak Göster

EndNote Erden Y, Şahin M (01 Nisan 2020) A case of stress fracture: What is the underlying cause?. Ege Tıp Bilimleri Dergisi 3 1 43–45.

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