Temponi Eduardo Frois, de Carvalho Junior Lúcio Honório, Costa Lincoln Paiva
Hospital Madre Teresa, Belo Horizonte, MG, Brazil.
Rev Bras Ortop. 2015 Jul 10;50(4):482-5. doi: 10.1016/j.rboe.2015.06.016. eCollection 2015 Jul-Aug.
The causal relationship between chronic use of bisphosphonates and occurrences of atypical femoral fractures has not yet been established. Nonetheless, it is known that their chronic use is more related to fractures with a pattern differing from that of classical osteoporotic fractures. Atypical fractures are still rare events and the benefit from using bisphosphonates remains greater for prevention and treatment of osteoporosis. There are few studies guiding the diagnosis and management of these fractures, thus making it difficult to achieve better results. In this report, we present the case of an elderly patient with an atypical femoral fracture that was managed in accordance with guidance from the American Society for Bone and Mineral Research.
长期使用双膦酸盐与非典型股骨骨折的发生之间的因果关系尚未确立。尽管如此，已知长期使用双膦酸盐与骨折的关联更大，其骨折模式不同于典型的骨质疏松性骨折。非典型骨折仍然是罕见事件，使用双膦酸盐预防和治疗骨质疏松症的益处仍然更大。指导这些骨折诊断和管理的研究很少，因此难以取得更好的结果。在本报告中，我们介绍了一例老年非典型股骨骨折患者的病例，该病例是根据美国骨与矿物质研究学会的指导进行处理的。
