Journal List > J Korean Fract Soc > v.30(3) > 1038097

Park, Lee, Kam, Lee, Yoo, Oh, Ha, Park, Park, Kim, and Yoon: Atypical Fracture-Like Insufficiency Fracture of the Tibia with Prolonged Bisphosphonate Drug: A Case Report

Abstract

Atypical femoral fracture related to a long-term bisphosphonate therapy has commonly been reported; however, a fracture at the site other than the femur has rarely been reported to date. Herein, we report a case of a patient on long-term bisphosphonate therapy who presented atypical tibial insufficiency fracture at the anterolateral aspect of diaphysis, without trauma. We, for the first time in Korea, present this case with a literature review.

Figures and Tables

Fig. 1

Preoperative radiograph shows atypical tibial diaphyseal fracture (white arrows), including periosteal reaction, endosteal thickening, and a radiolucent fracture line.

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Fig. 2

Preoperative computed tomography shows periosteal reaction, cortical thickening, and transverse fracture line (white arrows).

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Fig. 3

Bone scan of this patient shows increased uptake (arrow) at the anterolateral area of tibial diaphysis.

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Fig. 4

Using intramedullary nailing, operation was performed.

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Fig. 5

The radiographs of tibia taken eight months after the operation show callus formation at the fracture site, with a diminished gap of fracture.

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Notes

Financial support None.

Conflict of interests None.

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ORCID iDs

Min Jung Park
https://orcid.org/0000-0002-2933-1933

Su Jin Lee
https://orcid.org/0000-0002-7325-2538

Jin Hwa Kam
https://orcid.org/0000-0002-5046-2655

Yun Tae Lee
https://orcid.org/0000-0002-2156-3983

Ju Hyung Yoo
https://orcid.org/0000-0003-3310-5610

Hyun Cheol Oh
https://orcid.org/0000-0003-4490-5154

Joong Won Ha
https://orcid.org/0000-0002-2924-0513

Yung Park
https://orcid.org/0000-0001-8360-9644

Sang Hoon Park
https://orcid.org/0000-0002-9085-6667

Seong Hoon Kim
https://orcid.org/0000-0003-1831-7930

Han Kook Yoon
https://orcid.org/0000-0002-8425-0693

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