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Biphosphonate associated stress fracture, femur, subtrochanteric

Smirniotopoulos, M.D. JGSM - MedPix (2014)

View Article: 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.


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.
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MPX1530_synpic59776: 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.


Biphosphonate associated stress fracture, femur, subtrochanteric

Smirniotopoulos, M.D. JGSM - MedPix (2014)

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.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1530&req=5

MPX1530_synpic59776: 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

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.