NYMC Faculty Publications
Atypical Femur Fracture in a Male Without History of Bisphosphonate Use: A Case Report
Author Type(s)
Student, Faculty
DOI
10.1186/s13256-023-04308-y
Journal Title
Journal of Medical Case Reports
First Page
2
Document Type
Article
Publication Date
1-4-2024
Department
Rehabilitation Medicine
Abstract
BACKGROUND: Atypical femur fractures are a rare occurrence, especially in bisphosphonate-naïve men, and merit reporting owing to their unusual presentation and clinical implications. This case report highlights a unique instance of atypical femur fractures in a 73-year-old male with no prior bisphosphonate exposure. CASE PRESENTATION: The patient, a 73-year-old Indian male with no history of bisphosphonate use, presented with left thigh pain and swelling following a minor fall. Radiographic assessment unveiled a closed left mid diaphyseal femoral shaft fracture. Subsequent imaging revealed an impending fracture in the contralateral femur. A comprehensive diagnostic evaluation, encompassing radiographic analysis, laboratory tests, and clinical assessment confirmed the diagnosis. Surgical management via intramedullary nailing was pursued for both fractures. Notably, the patient's medical history was characterized by radiographic manifestations, the infrequent occurrence of atypical femur fractures in men, and associated risk factors. Treatment encompassed anabolic bone therapy employing teriparatide, alongside discontinuation of antiresorptive agents. CONCLUSIONS: This case underscores the significance of considering atypical femur fractures in older individuals with limited trauma history. It accentuates the role of anabolic agents in the therapeutic regimen and contributes to the evolving understanding of atypical femur fractures. The report underscores the need for vigilant monitoring and tailored management strategies in similar cases, thereby enhancing clinical practice and patient care.
Recommended Citation
Al-Ajlouni, Y. A., Lee, J. L., Lee, J. L., & Samuels, B. (2024). Atypical Femur Fracture in a Male Without History of Bisphosphonate Use: A Case Report. Journal of Medical Case Reports, 18 (1), 2. https://doi.org/10.1186/s13256-023-04308-y