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Atypical Femoral Fracture in a Patient with Rheumatoid Arthritis
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±è´ã(Kim Dam) - ÇѾç´ëÇб³ ·ù¸¶Æ¼½ºº´¿ø ·ù¸¶Æ¼½º³»°ú
Á¤¼Ò´ã(Jung So-Dam) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¼Õâ³²(Son Chang-Nam) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÃÖÁö¿µ(Choi Ji-Young) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
À̽ÂÈÆ(Lee Seung-Hun) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ¿µ»óÀÇÇб³½Ç
±èÀ̼®(Kim Yi-Suk) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
¼ºÀ±°æ(Sung Yoon-Kyoung) - ÇѾç´ëÇб³ ·ù¸¶Æ¼½ºº´¿ø ·ù¸¶Æ¼½º³»°ú
Abstract
Atypical femoral fractures are characterized by a subtrochanteric or diaphyseal location. Recent studies have suggested that long-term treatment with bisphosphonates might be associated with the occurrence of atypical femoral fractures. The present report describes a case involving a 60-year-old woman with left buttock pain that was unassociated with trauma. Her hip pain was initially considered to be a symptom of her underlying rheumatoid arthritis, but a plain radiography, bone scintigraphy, and magnetic resonance imaging revealed an insufficiency fracture in the lateral shaft of the left proximal femur. She had been treated with a bisphosphonate for 4.5 years because of a previous vertebral fracture. Her chronic, long-term rheumatoid arthritis and history of bisphosphonate administration were considered to be associated with the development of her atypical femoral fracture.
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Femoral fracture, Arthritis, Rheumatoid, Alendronate
KMID :
0882420140870020240
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