Spontaneous subtrochanteric femoral stress fracture related to alendronate : a case report.
Spontaneous atypical fractures of the femur have been reported in patients on long-term antiresorptive bisphosphonate therapy. Here, we report a case of subtrochanteric stress fracture in a seventy-year-old female patient on long-term alendronate therapy, and accompanying management challenges. Potential measures to prevent this complication of antiresorptive treatment for osteoporosis include the following: setting strict criteria for prescribing antiresorptive therapy, limiting the duration of continuous antiresorptive therapy, and increasing the use of bone anabolic agents.


BACKGROUND
atypical femoral fractures, alendronate, osteoporosis.
Orthopaedic Clinic, Normah Medical Specialist Centre, Kuching, Malaysia.
Paul Cc
PC
Chew
Radiology Clinic, Normah Medical Specialist Centre, Kuching, Malaysia.
B
B
Julaihi
Department of Pathology, Universiti Malaysia Sarawak, Kuching, Malaysia.
Za
Z
Ibrahim