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Atypical Femoral Fracture: 2015 Position Statement of the Korean Society for Bone and Mineral Research
Journal of Bone Metabolism ; : 87-91, 2015.
Artículo en Inglés | WPRIM | ID: wpr-12336
ABSTRACT
Bisphosphonate (BP) is a useful anti-resorptive agent which decreases the risk of osteoporotic fracture by about 50%. However, recent evidences have shown its strong correlation with the occurrence of atypical femoral fracture (AFF). The longer the patient takes BP, the higher the risk of AFF. Also, the higher the drug adherence, the higher the risk of AFF. It is necessary to ask the patients who are taking BP for more than 3 years about the prodromal symptoms such as dull thigh pain. Simple radiography, bone scan, and magnetic resonance imaging (MRI) are good tools for the diagnosis of AFF. The pre-fracture lesion depicted on the hip dual energy X-ray absorptiometry (DXA) images should not be missed. BP should be stopped immediately after AFF is diagnosed and calcium and vitamin D (1,000 to 2,000 IU) should be administered. The patient should be advised not to put full weight on the injured limb. Daily subcutaneous injection of recombinant human parathyroid hormone (PTH; 1-34) is recommended if the patient can afford it. Prophylactic femoral nailing is indicated when the dreaded black line is visible in the lateral femoral cortex, especially in the subtrochanteric area.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Hormona Paratiroidea / Muslo / Vitamina D / Imagen por Resonancia Magnética / Radiografía / Absorciometría de Fotón / Calcio / Diagnóstico / Extremidades / Fracturas del Fémur Tipo de estudio: Estudio diagnóstico Límite: Humanos Idioma: Inglés Revista: Journal of Bone Metabolism Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Hormona Paratiroidea / Muslo / Vitamina D / Imagen por Resonancia Magnética / Radiografía / Absorciometría de Fotón / Calcio / Diagnóstico / Extremidades / Fracturas del Fémur Tipo de estudio: Estudio diagnóstico Límite: Humanos Idioma: Inglés Revista: Journal of Bone Metabolism Año: 2015 Tipo del documento: Artículo