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Biphosphonate associated stress fracture, femur, subtrochanteric
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MedPix Image - MedPix Case
Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Biphosphonate associated stress fracture, femur, subtrochanteric History: This 63 y.o. woman presented with lateral hip and thigh pain. For six months, she has chronic right foot Fx of 5th metatarsal with non-union. PMH: Osteopenia Vitamin D deficiency Vitamin D 48.5 (8/29/13) DM II recently diagnosed A1C 7.4 on (8/29/13) Hypertension Hyperlipidemia Obesity Atypical chest pain Normal nuclear stress test 10/23/08 and 1/23/06 GERD Hypothyroidism G4P2022, post-menopausal Findings: Healing incomplete fracture of the left proximal femoral diaphysis just below the lesser trochanter with associated cortical thickening and periosteal reaction. Periosteal reaction indicates chronicity but no fracture identified at outside ER in October Nondisplaced subtrochanteric vs. intertrochanteric fracture of the femur. Ddx: Stress Fracture Pathologic Fractcure Dxhow: Radiography No MeSH data available. |
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MPX1530_synpic59771: Healing incomplete fracture of the left proximal femoral diaphysis just below the lesser trochanter with associated cortical thickening and periosteal reaction. Periosteal reaction indicates chronicity. |
View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Biphosphonate associated stress fracture, femur, subtrochanteric
History: This 63 y.o. woman presented with lateral hip and thigh pain. For six months, she has chronic right foot Fx of 5th metatarsal with non-union. PMH: Osteopenia Vitamin D deficiency Vitamin D 48.5 (8/29/13) DM II recently diagnosed A1C 7.4 on (8/29/13) Hypertension Hyperlipidemia Obesity Atypical chest pain Normal nuclear stress test 10/23/08 and 1/23/06 GERD Hypothyroidism G4P2022, post-menopausal
Findings: Healing incomplete fracture of the left proximal femoral diaphysis just below the lesser trochanter with associated cortical thickening and periosteal reaction. Periosteal reaction indicates chronicity but no fracture identified at outside ER in October Nondisplaced subtrochanteric vs. intertrochanteric fracture of the femur.
Ddx: Stress Fracture Pathologic Fractcure
Dxhow: Radiography
No MeSH data available.
