Atypical Tibial Fracture Following Chronic Bisphosphonate Use: A Case Report and Review of the Literature.

Atypical fractures are diagnosed when an otherwise normal force causes a fracture in a patient using bisphosphonates chronically. These occur most commonly in the subtrochanteric region of the femur. Yet, the literature on atypical tibial shaft fractures is scarce. We describe a case of a 60-year-old Hispanic female who presented with an atypical open tibial fracture with a seven-year history of bisphosphonate use, successfully managed with intramedullary nailing.