Min Jung Park; Su Jin Lee; Jin Hwa Kam; Yun Tae Lee; Ju Hyung Yoo; Hyun Cheol Oh; Joong Won Ha; Yung Park; Sang Hoon Park; Seong Hoon Kim; Han Kook Yoon

doi:10.12671/jkfs.2017.30.3.137

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Case Report
Atypical Fracture-Like Insufficiency Fracture of the Tibia with Prolonged Bisphosphonate Drug: A Case Report: Min Jung Park, M.D., Su Jin Lee, M.D., Jin Hwa Kam, M.D., Yun Tae Lee, M.D., Ju Hyung Yoo, M.D., Hyun Cheol Oh, M.D., Joong Won Ha, M.D., Yung Park, M.D., Sang Hoon Park, M.D., Seong Hoon Kim, M.D., Han Kook Yoon, M.D.; Journal of the Korean Fracture Society 2017;30(3):137-141.
DOI: https://doi.org/10.12671/jkfs.2017.30.3.137
Published online: July 21, 2017

Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

^*Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

^†Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Correspondence to: Han Kook Yoon, M.D. Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsandong-gu, Goyang 10444, Korea. Tel: +82-31-900-0540, Fax: +82-31-900-0343, hangugi@gmail.com

• Received: February 20, 2017 • Revised: March 13, 2017 • Accepted: April 5, 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

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.
Key words: Tibial diaphysis, Atypical tibial insufficiency fracture, Bisphosphonate

None.

REFERENCES

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Fig. 1

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

Fig. 2

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

Fig. 3

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

Fig. 4

Using intramedullary nailing, operation was performed.

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.

Figure & Data

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Atypical Femoral Fracture Occurring at a Proximal Screw Insertion Site after Plate Removal in a Distal Femoral Fracture
Jin Woo Jin, Sung Jin Shin, Jong Min Jeon
Journal of the Korean Orthopaedic Association.2024; 59(4): 314. CrossRef

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Atypical Fracture-Like Insufficiency Fracture of the Tibia with Prolonged Bisphosphonate Drug: A Case Report

J Korean Fract Soc. 2017;30(3):137-141. Published online July 31, 2017

DOI: https://doi.org/10.12671/jkfs.2017.30.3.137

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Atypical Fracture-Like Insufficiency Fracture of the Tibia with Prolonged Bisphosphonate Drug: A Case Report

Fig. 1 Preoperative radiograph shows atypical tibial diaphyseal fracture (white arrows), including periosteal reaction, endosteal thickening, and a radiolucent fracture line.

Fig. 2 Preoperative computed tomography shows periosteal reaction, cortical thickening, and transverse fracture line (white arrows).

Fig. 3 Bone scan of this patient shows increased uptake (arrow) at the anterolateral area of tibial diaphysis.

Fig. 4 Using intramedullary nailing, operation was performed.

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.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Atypical Fracture-Like Insufficiency Fracture of the Tibia with Prolonged Bisphosphonate Drug: A Case Report