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Correction of author’s name: Atypical femoral neck fracture after prolonged bisphosphonate therapy
Kwang-kyoun Kim, Yong Wook Park, Tae-hyeong Kim, Kyung-deok Seo
J Pathol Transl Med. 2020;54(5):435-435.   Published online September 10, 2020
DOI: https://doi.org/10.4132/jptm.2020.09.07
Corrects: J Pathol Transl Med 2020;54(4):346
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  • 62 Download
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Case Study
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Atypical femoral neck fracture after prolonged bisphosphonate therapy
Kwang-kyoun Kim, Young-wook Park, Tae-hyeong Kim, Kyung-deok Seo
J Pathol Transl Med. 2020;54(4):346-350.   Published online June 29, 2020
DOI: https://doi.org/10.4132/jptm.2020.05.14
Correction in: J Pathol Transl Med 2020;54(5):435
  • 4,368 View
  • 133 Download
  • 8 Web of Science
  • 9 Crossref
AbstractAbstract PDF
Of the drugs developed to prevent and treat osteoporosis, bisphosphonate has played a very important role in preventing osteoporotic fractures. However, case reports describing atypical femoral fractures in patients using long-term bisphosphonates have emerged. The majority of atypical femur fractures occurs in the lateral aspect of the subtrochanteric or femur diaphysis, which is explained by accumulation of tensile stress in these areas. Although the superior cortex of the femur neck withstands maximum tensile stress, to our knowledge, there have been only two reports (three cases) of atypical femoral neck fracture. In addition, none of those case reports revealed detailed pathology related to suppressed bone turnover rate. We encountered an incomplete femoral neck fracture and diagnosed it as “atypical” on the basis of the patient’s lack of trauma and medication history and pathological findings. For patients with groin pain, minimal or no trauma, and a history of long-term bisphosphonate use, an atypical femoral neck fracture should be considered.

Citations

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