Suk Kyu Choo; Dae Yeon Jo; Hyoung Keun Oh

doi:10.12671/jkfs.2013.26.3.217

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Case Report
Insufficiency Fracture of Proximal Femur Shaft without Bisphosphonate Therapy: Report of Three Cases: Suk Kyu Choo, M.D., Dae Yeon Jo, M.D., Hyoung Keun Oh, M.D.; Journal of the Korean Fracture Society 2013;26(3):217-220.
DOI: https://doi.org/10.12671/jkfs.2013.26.3.217
Published online: July 15, 2013

Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.

Address reprint requests to: Hyoung Keun Oh, M.D. Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang 411-706, Korea. Tel: 82-31-910-7968, Fax: 82-31-910-7967, osd11@paik.ac.kr

• Received: October 10, 2012 • Revised: March 20, 2013 • Accepted: April 29, 2013

This is anOpen Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

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.
Key words: Proximal femur, Bisphosphonate, Insufficiency fracture

REFERENCES

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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.

Fig. 2

Femur shaft shows severe lateral bowing, so internal fixation was done using locking compression plate.

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.

Figure & Data

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Insufficiency Fracture of Proximal Femur Shaft without Bisphosphonate Therapy: Report of Three Cases

J Korean Fract Soc. 2013;26(3):217-220. Published online July 31, 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.3.217

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Insufficiency Fracture of Proximal Femur Shaft without Bisphosphonate Therapy: Report of Three Cases

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.

Fig. 2 Femur shaft shows severe lateral bowing, so internal fixation was done using locking compression plate.

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.

Fig. 1

Fig. 2

Fig. 3

Insufficiency Fracture of Proximal Femur Shaft without Bisphosphonate Therapy: Report of Three Cases