Effect of Long-Term Use of Bisphosphonates on Forearm Bone: Atypical Ulna Fractures in Elderly Woman with Osteoporosis.
Osteoporosis is a common musculoskeletal disease of the elderly population characterized by decreased bone mineral density and subsequent fractures. Bisphosphonates are a widely accepted drug therapy which act through inhibition of bone resorption and prevent fractures. However, in long-term use, atypical bisphosphonate induced fractures may occur, particularly involving the lower weight bearing extremity. Atypical ulna fracture associated with long-term bisphosphonate use is rarely reported in current literature. We present a 62-year-old woman with atypical ulna due to long-term alendronate therapy without a history of trauma or fall. Clinicians should be aware of stress fracture in a patient who has complaints of upper extremity pain and history of long-term bisphosphonate therapy.
Orthopedics and Traumatology Department, Girne Military Hospital, Kyrenia, Cyprus.
Yusuf
0000-0002-8685-2356
Y
Erdem
Orthopedics and Traumatology Department, Ankara Military Hospital, Ankara, Turkey.
Zafer
Z
Atbasi
Orthopedics and Traumatology Department, Memorial Hizmet Hospital, Istanbul, Turkey.
Tuluhan Yunus
0000-0003-3571-2836
TY
Emre
Physical Medicine and Rehabilitation Department, Medicine Hospital, Istanbul, Turkey.
Gülis
G
Kavadar
Orthopedics and Traumatology Department, Medipol University Hospital, Istanbul, Turkey.
Bahtiyar
B
Demiralp