title: Simultaneous, bilateral, complete atypical femoral fractures after long-term alendronate use.
abstract: Over the past decade there have been increasing reports of atypical femoral fractures (AFFs) associated with bisphosphonate use. Reported cases of bilateral involvement usually refer to sequential injuries, or a complete fracture with an incomplete injury to the contralateral limb. In this case report we describe simultaneous, bilateral, complete atypical femoral fractures following a simple fall. A history of prodromal pain, previous radiological evidence of cortical thickening and long term alendronate therapy for osteoporosis secondary to corticosteroid treatment paint a classical picture of the presentation of an atypical fracture pattern of which orthopaedic surgeons should be aware.
authors: Kings Mill Hospital, Mansfield NG17 4JL, UK.
authors: Mark
authors: M
authors: Higgins
authors: Kings Mill Hospital, Mansfield NG17 4JL, UK.
authors: Sam
authors: S
authors: Morgan-John
authors: Kings Mill Hospital, Mansfield NG17 4JL, UK.
authors: Sachin
authors: S
authors: Badhe
keywords: Atypical femoral fracture; Bisphosphonate fracture; Subtrochanteric fracture