Supraacetabular and femoral head stress fracture during fluoride treatment.
A woman treated with fluoride for corticosteroid-induced osteoporosis presented 1 year later with an unusual localized supraacetabular followed by a same-sided femoral head fracture. Fluoride was increased in serum and urine. Transiliac bone biopsy revealed typical bone fluorosis with elevated trabecular bone fluoride.
van Linthoudt
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Department of Rheumatology, Hôpital de la ville, La Chaux-de-Fonds, Switzerland.
Ott
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H
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries*; D000368:Aged; D005260:Female; D005265:Femoral Neck Fractures / Q000209:etiology*; D005598:Fractures, Spontaneous; D006801:Humans; D010024:Osteoporosis / Q000139:chemically induced / Q000188:drug therapy; D011241:Prednisone / Q000009:adverse effects; D011859:Radiography; D012969:Sodium Fluoride / Q000009:adverse effects / Q000627:therapeutic use*
D012969:Sodium Fluoride; D011241:Prednisone