Clin Osteol 2022; 27(2-3): 65-68
Insufficiency fracture of the pubic ramus - "typical" or "atypical": a case reportCase reports
- 1 Oddelenie ortopédie, FNsP J. A. Reimana Prešov
- 2 II. ortopedicko-traumatologická klinika LF UK a UNB, Bratislava
Insufficiency fractures occur in normal load on pathologically weak bone, as a result of osteoporosis. Atypical femoral fractures are well described complication of long term bisphosphonate use. With a growing geriatric population, the incidence of insufficiency fractures, as well as atypical femoral fractures, has increased. Also their early diagnostics is a problem, because they are often overlooked on first native X-ray. We present a case of patient, longterm treated with denosumab, who developed fracture of the pubic ramus. Because of delayed bone healing with unusual pattern we consider long-term anti-resorption therapy as a potentional cause of the pubic ramus fracture or factor affecting the healing of insufficiency fracture.
Keywords: bisphosphonates; osteoporosis; atypical fracture; insufficiency fracture
Received: June 29, 2022; Accepted: July 30, 2022; Published: December 11, 2022 Show citation
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