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骨质疏松症患者的非典型股骨骨折和药物相关性颌骨骨坏死的诊断和治疗。

Diagnosis and Management of Atypical Femoral Fractures and Medication-Related Osteonecrosis of the Jaw in Patients with Osteoporosis.

机构信息

Division of Endocrinology and Metabolism, McMaster University, 223 - 3075 Hospital Gate, Oakville, Ontario L6M 1M1, Canada.

Division of Endocrinology and Metabolism, McMaster University, 223 - 3075 Hospital Gate, Oakville, Ontario L6M 1M1, Canada.

出版信息

Endocrinol Metab Clin North Am. 2024 Dec;53(4):607-618. doi: 10.1016/j.ecl.2024.08.007.

Abstract

Anti-osteoporosis treatments reduce fracture risk but maybe associated with rare adverse events with long-term use such as atypical femoral fractures (AFFs) and medication-related osteonecrosis of the jaw (MRONJ). AFFs are rare but more likely with prolonged bisphosphonate use, whereas MRONJ incidence is higher in cancer patients on high-dose antiresorptive therapy. Following diagnosis, effective treatment options are available to manage both of these rare complications. An individualized treatment approach is advised with close monitoring.

摘要

抗骨质疏松治疗可降低骨折风险,但长期使用可能会出现一些罕见的不良反应,如非典型股骨骨折(AFF)和药物相关性颌骨坏死(MRONJ)。AFF 较为罕见,但与延长双膦酸盐的使用时间有关,而高剂量抗吸收治疗的癌症患者中 MRONJ 的发病率更高。诊断后,可采用有效的治疗方案来治疗这两种罕见的并发症。建议采用个体化的治疗方法,并密切监测。

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