Subtrochanteric femoral fractures in patients receiving long-term alendronate therapy: imaging features. 2010

Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
Department of Radiology, New York University Hospital for Joint Diseases, New York, NY 10009, USA. sarahshockchan@gmail.com

OBJECTIVE A paradoxical association between long-term alendronate therapy and low-energy subtrochanteric femoral fractures has been recently recognized. A retrospective review of 34 such femoral fractures was performed. CONCLUSIONS Subtrochanteric femoral fractures associated with long-term alendronate therapy present with minimal trauma, may be chronic, and when incomplete may be missed. The characteristic imaging features include initial involvement and focal thickening of the lateral cortex, transverse orientation, medial beak, and superior displacement and varus angulation at the fracture site.

UI MeSH Term Description Entries
D008279 Magnetic Resonance Imaging Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques. Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010024 Osteoporosis Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (OSTEOPOROSIS, POSTMENOPAUSAL) and age-related or senile osteoporosis. Age-Related Osteoporosis,Bone Loss, Age-Related,Osteoporosis, Age-Related,Osteoporosis, Post-Traumatic,Osteoporosis, Senile,Senile Osteoporosis,Osteoporosis, Involutional,Age Related Osteoporosis,Age-Related Bone Loss,Age-Related Bone Losses,Age-Related Osteoporoses,Bone Loss, Age Related,Bone Losses, Age-Related,Osteoporoses,Osteoporoses, Age-Related,Osteoporoses, Senile,Osteoporosis, Age Related,Osteoporosis, Post Traumatic,Post-Traumatic Osteoporoses,Post-Traumatic Osteoporosis,Senile Osteoporoses
D005260 Female Females
D005264 Femoral Fractures Fractures of the femur. Femoral Fracture,Fracture, Femoral,Fractures, Femoral
D006620 Hip Fractures Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES). Femoral Trochlear Fractures,Intertrochanteric Fractures,Subtrochanteric Fractures,Trochanteric Fractures,Trochlear Fractures, Femur,Femoral Trochlear Fracture,Femur Trochlear Fracture,Femur Trochlear Fractures,Fracture, Femoral Trochlear,Fracture, Femur Trochlear,Fractures, Femoral Trochlear,Fractures, Femur Trochlear,Fractures, Hip,Fractures, Intertrochanteric,Fractures, Subtrochanteric,Fractures, Trochanteric,Trochlear Fracture, Femoral,Trochlear Fracture, Femur,Trochlear Fractures, Femoral
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000058 Accidental Falls Falls due to slipping or tripping which may result in injury. Falls, Accidental,Falling,Falls,Slip and Fall,Accidental Fall,Fall and Slip,Fall, Accidental
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old

Related Publications

Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
January 2010, Ochsner journal,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
July 2010, Clinical orthopaedics and related research,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
February 2008, Injury,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
July 2009, Clinical orthopaedics and related research,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
January 2011, Journal of osteoporosis,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
March 2007, The Journal of bone and joint surgery. British volume,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
November 1990, Clinical orthopaedics and related research,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
April 2001, The Journal of clinical endocrinology and metabolism,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
November 2009, The Journal of bone and joint surgery. American volume,
Sarah Shock Chan, and Zehava Sadka Rosenberg, and Keith Chan, and Craig Capeci
May 2010, Journal of the Medical Association of Thailand = Chotmaihet thangphaet,
Copied contents to your clipboard!