title: Acute nontraumatic clavicle fracture associated with long-term bisphosphonate therapy.
abstract: Cases of osteonecrosis of the jaw, insufficiency fractures and atypical low energy or atraumatic fractures of pelvis, femur (subtrochanteric/mid-shaft/distal-third), tibia, fibula, metatarsal, humerus, and ulna related to long-term bisphosphonate therapy have been reported in the literature. We present the case of an acute nontraumatic clavicle fracture, associated with long-term bisphosphonate therapy, which to our knowledge has not been reported previously. This case highlights the need of critical evaluation of patients with atypical fractures during long-term bisphosphonate therapy.
authors.affiliation: Trauma and Orthopaedics Department, Monklands Hospital, Monkscourt Avenue, Airdrie, North Lanarkshire ML6 0JS, UK.
authors.forename: Shen Hwa
authors.initials: SH
authors.lastname: Vun
authors.affiliation: Department of Radiology, Monklands Hospital, Monkscourt Avenue, Airdrie, North Lanarkshire ML6 0JS, UK.
authors.forename: Yahya
authors.initials: Y
authors.lastname: Husami
authors.affiliation: Trauma and Orthopaedics Department, Monklands Hospital, Monkscourt Avenue, Airdrie, North Lanarkshire ML6 0JS, UK.
authors.forename: Sajan
authors.initials: S
authors.lastname: Shareef
authors.affiliation: Trauma and Orthopaedics Department, Monklands Hospital, Monkscourt Avenue, Airdrie, North Lanarkshire ML6 0JS, UK.
authors.forename: Diane
authors.initials: D
authors.lastname: Bramley