title: Bisphosphonate-induced atypical subtrochanteric femoral fracture.
abstract: The use of bisphosphonates (BPs) is universally accepted in the management of osteoporosis. However, a small percentage of patients have been recognised to develop atypical subtrochanteric fractures of the femur with the prolonged use of BPs. We report a rare case of bilateral insufficiency lesions in the proximal femora, where a major subtrochanteric fracture developed with a minor fall. This was successfully treated with internal fixation using proximal femoral nail.
authors.affiliation: Department of Orthopaedic and Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi, India.
authors.forename: Raju
authors.initials: R
authors.lastname: Vaishya
authors.forename: Abhishek
authors.initials: A
authors.lastname: Vaish
authors.forename: Arshad
authors.initials: A
authors.lastname: Nadeem
mesh_terms: D015502:Absorptiometry, Photon; D019386:Alendronate / Q000009:adverse effects*; D050071:Bone Density Conservation Agents / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006620:Hip Fractures / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010024:Osteoporosis / Q000188:drug therapy*
chemical_list: D050071:Bone Density Conservation Agents; D019386:Alendronate