title: A case of incomplete atypical femoral fracture with histomorphometrical evidence of osteomalacia.
abstract: Roughly half of the femoral fracture patients diagnosed with AFF according to the criteria suggested by a task force of the American Society for Bone and Mineral Research (ASBMR) have not undergone bisphosphonate (BP) therapy. One suspected cause of such fractures is severe bone loss due to osteomalacia, but the pathogenesis remains unknown. We report a case of an 84-year-old woman with AFF not treated by BP therapy, in whom underlying osteomalacia was histologically diagnosed. The involvement of femoral curvature and spino-pelvic malaligment in the fracture in the present case was considered.
authors.affiliation: Division of Orthopedic Surgery, Nakadori General Hospital, Akita 010-8577, Japan.tuchikiti@yahoo.co.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tsuchie
authors.forename: Naohisa
authors.initials: N
authors.lastname: Miyakoshi
authors.forename: Tomio
authors.initials: T
authors.lastname: Nishi
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Abe
authors.forename: Toyohito
authors.initials: T
authors.lastname: Segawa
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Shimada
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005264:Femoral Fractures / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010018:Osteomalacia / Q000150:complications*