Insufficiency fracture of the pubic ramus – „typical“ or „atypical“: a case report
Authors:
Jr K Oc Ján 1; Šteňo Boris 2
Authors‘ workplace:
Oddelenie ortopédie, FNsP J. A. Reimana Prešov
1; II. ortopedicko-traumatologická klinika LF UK a UNB, Bratislava
2
Published in:
Clinical Osteology 2022; 27(2-3): 65-68
Category:
Overview
Insufficiency fractures occur in normal load on pathologically weak bone, as a result of osteoporosis. Atypical femoral fractures are well described complication of long term bisphosphonate use. With a growing geriatric population, the incidence of insufficiency fractures, as well as atypical femoral fractures, has increased. Also their early diagnostics is a problem, because they are often overlooked on first native X-ray. We present a case of patient, longterm treated with denosumab, who developed fracture of the pubic ramus. Because of delayed bone healing with unusual pattern we consider long-term anti-resorption therapy as a potentional cause of the pubic ramus fracture or factor affecting the healing of insufficiency fracture.
Keywords:
bisphosphonates – osteoporosis – atypical fracture – insufficiency fracture
Sources
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Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology OsteologyArticle was published in
Clinical Osteology
2022 Issue 2-3
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