Journal List > J Korean Fract Soc > v.26(3) > 1037935

Choo, Jo, and Oh: Insufficiency Fracture of Proximal Femur Shaft without Bisphosphonate Therapy - Report of Three Cases -

Abstract

There is a growing interest in the factors related to insufficiency fractures. We are going to report three insufficiency fracture cases which are considered to be caused by osteoporosis, rheumatoid arthritis, steroid use and femoral shaft bowing among the patients not taking bisphosphonate. All cases are caused by low energy trauma and among these cases, one patient is being presented with a prodromal symptom and another patient complains of both prodromal symptoms and bilateral lesions.

Figures and Tables

Fig. 1
(A) The radiograph shows typical patterns; lateral cortical hypertrophy, transverse fracture line and medial spike. (B) After left side operation, whole body radionuclide scan shows a focal uptake of right femur shaft.
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Fig. 2
Femur shaft shows severe lateral bowing, so internal fixation was done using locking compression plate.
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Fig. 3
(A) An anteroposterior radiograph obtained 5 months after the first operation demonstrates metal breakage and displaced fragment. (B) Using long proximal femur nail antirotation and auto bone graft, the revisional operation was done.
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