Bilateral ulna fractures associated with bisphosphonate therapy

Bilateral ulna fractures associated with bisphosphonate therapy
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DOI:
10.1007/s00198-012-2118-3
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发表时间:
2013-04-01
影响因子:
4
通讯作者:
Howe, T. S.
Howe, T. S.
中科院分区:
医学2区
文献类型:
--
作者:
Ang, B. F. H.;Koh, J. S. B.;Howe, T. S.

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我们报告了一例因长期使用双磷酸盐导致双侧股骨骨折后发生双侧尺骨应力性骨折的病例。该患者是一名 84 岁女性,接受了 15 年的双膦酸盐治疗。她没有任何已知的导致骨质流失的次要原因的既往疾病。她大部分时间都待在家里,使用助行架行走。一个月后,她出现非外伤性右尺骨疼痛,随后出现非外伤性左尺骨疼痛。她在背板中接受了保守治疗,并停用了双磷酸盐。调查没有发现骨质疏松症或代谢性骨疾病的任何继发原因。
We report a case of bilateral ulna stress fractures following bilateral femoral fractures associated with long-term bisphosphonate use. The patient is an 84-year-old woman receiving 15 years of bisphosphonate therapy. She did not have any preexisting medical conditions which are known secondary causes of bone loss. She was mostly housebound and used a walking frame for ambulation. She presented with atraumatic right ulna pain and subsequent atraumatic left ulna pain a month later. She was treated conservatively in backslabs and her bisphosphonate was stopped. Investigations did not reveal any secondary causes of osteoporosis or metabolic bone disorders.