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肩胛冈非典型骨折：一例报告

Atypical Fracture of the Scapular Spine: A Case Report.

作者信息

Mashiko Ryosuke, Hakozaki Michiyuki, Kaneuchi Yoichi, Nikaido Takuya, Matsumoto Yoshihiro

机构信息

Department of Orthopaedic Surgery, Fukushima Prefectural Minami-Aizu Hospital, Fukushima, JPN.

Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, JPN.

出版信息

Cureus. 2024 May 13;16(5):e60237. doi: 10.7759/cureus.60237. eCollection 2024 May.

DOI:10.7759/cureus.60237
PMID:38872707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11169745/
Abstract

Atypical fractures are gaining attention as a severe potential side effect of long-term treatment with bone-modifying agents (e.g., bisphosphonate and denosumab) for osteoporosis. Most atypical fractures occur in weight-bearing bones; the femur is the most frequent site. Atypical fractures occurring in non-weight-bearing bones are extremely rare. We describe an atypical fracture of the scapular spine in a 92-year-old Japanese woman with osteoporosis who had been treated with minodronate for ~7 years. Although the dislocation of the fracture site remained after conservative treatment, there was no obstacle to her daily life.

摘要

非典型骨折作为骨质疏松症长期使用骨改良药物（如双膦酸盐和地诺单抗）治疗的一种严重潜在副作用正受到关注。大多数非典型骨折发生在负重骨；股骨是最常见的部位。发生在非负重骨的非典型骨折极为罕见。我们描述了一名92岁患有骨质疏松症的日本女性，她接受米诺膦酸治疗约7年后发生了肩胛冈非典型骨折。尽管保守治疗后骨折部位仍有移位，但对她的日常生活并无妨碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9160/11169745/8f8b55da8160/cureus-0016-00000060237-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9160/11169745/5eea67271eb0/cureus-0016-00000060237-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9160/11169745/778d3d31449b/cureus-0016-00000060237-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9160/11169745/8f8b55da8160/cureus-0016-00000060237-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9160/11169745/5eea67271eb0/cureus-0016-00000060237-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9160/11169745/778d3d31449b/cureus-0016-00000060237-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9160/11169745/8f8b55da8160/cureus-0016-00000060237-i03.jpg

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1
Atypical Fracture of the Scapular Spine: A Case Report.肩胛冈非典型骨折：一例报告
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本文引用的文献

1
Long-term consequences of osteoporosis therapy with bisphosphonates.双膦酸盐治疗骨质疏松症的长期后果。
Arch Endocrinol Metab. 2023 Nov 10;68:e220334. doi: 10.20945/2359-4292-2022-0334.
2
A Scapular Spine Fracture Defined on the Basis of a Bisphosphonate: a Case Report and Review of the Literature.肩胛骨脊柱骨折基于双磷酸盐定义：病例报告及文献复习。
Acta Chir Orthop Traumatol Cech. 2022;89(4):312-314.
3
Development of Atypical Ulnar Fracture is Associated with Bisphosphonate Therapy and Severe Spinal Deformity: A Case Report.
非典型尺骨骨折的发生与双膦酸盐治疗和严重脊柱畸形相关：病例报告。
J Hand Surg Asian Pac Vol. 2022 Jun;27(3):553-559. doi: 10.1142/S2424835522720225.
4
Exploring the Mechanisms Underlying Drug-Induced Fractures Using the Japanese Adverse Drug Event Reporting Database.利用日本药品不良事件报告数据库探索药物性骨折的潜在机制。
Pharmaceuticals (Basel). 2021 Dec 13;14(12):1299. doi: 10.3390/ph14121299.
5
Diagnostic Criteria and Treatment of Atypical Ulnar Fractures Associated With Prolonged Bisphosphonate Therapy: Multicenter Case Analysis.与长期双膦酸盐治疗相关的非典型尺骨骨折的诊断标准与治疗：多中心病例分析
J Hand Surg Am. 2022 Sep;47(9):901.e1-901.e12. doi: 10.1016/j.jhsa.2021.08.001. Epub 2021 Sep 24.
6
Treatment strategy for atypical ulnar fracture due to severely suppressed bone turnover caused by long-term bisphosphonate therapy: a case report and literature review.长期双膦酸盐治疗导致严重骨转换抑制的非典型尺骨骨折的治疗策略：病例报告及文献复习。
BMC Musculoskelet Disord. 2020 Dec 3;21(1):802. doi: 10.1186/s12891-020-03824-y.
7
Evaluation of factors affecting the occurrence of second atypical fracture after bone union of the first atypical fracture.评估影响第一次非典型骨折愈合后再次发生第二处非典型骨折的因素。
Bone. 2021 Feb;143:115671. doi: 10.1016/j.bone.2020.115671. Epub 2020 Sep 30.
8
Medical Management of Patients After Atypical Femur Fractures: a Systematic Review and Recommendations From the European Calcified Tissue Society.非典型股骨骨折患者的医学管理：来自欧洲钙化组织协会的系统评价和建议。
J Clin Endocrinol Metab. 2020 May 1;105(5):1682-99. doi: 10.1210/clinem/dgz295.
9
Executive summary of the European guidance for the diagnosis and management of osteoporosis in postmenopausal women.绝经后妇女骨质疏松症的诊断和管理欧洲指南摘要
Calcif Tissue Int. 2019 Mar;104(3):235-238. doi: 10.1007/s00223-018-00512-x.
10
Antiresorptive agent-related osteonecrosis of the jaw: Position Paper 2017 of the Japanese Allied Committee on Osteonecrosis of the Jaw.抗吸收剂相关颌骨坏死：日本颌骨坏死联合委员会2017年立场文件
J Bone Miner Metab. 2017 Jan;35(1):6-19. doi: 10.1007/s00774-016-0810-7. Epub 2016 Dec 29.