Pathological pelvic fracture following long-term bisphosphonate use in a 63-year-old woman

A 63-year-old woman presented with a low energy pelvic fracture, which showed no signs of healing. Initial fractures were to the right hemipelvis, later followed by a right fractured neck of femur. We present a complicated patient journey, management dilemmas and highlight the growing concern with l...

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Bibliographic Details
Published in:BMJ case reports 2014-10, Vol.2014, p.bcr2014206319
Main Authors: Watson, H I, Hopper, G P, Gupta, S, Roberts, J L
Format: Article
Language:English
Subjects:
Accidental Falls
Age
Alendronate - adverse effects
Bone Density Conservation Agents - adverse effects
Drug Administration Schedule
Female
Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect
Fracture Fixation, Internal
Fracture Healing
Fractures
Fractures, Bone - diagnostic imaging
Fractures, Bone - etiology
Fractures, Bone - surgery
Humans
Injuries
Metabolism
Middle Aged
Osteoporosis
Pain
Patients
Pelvic Bones - diagnostic imaging
Pelvic Bones - injuries
Pelvic Bones - surgery
Radiography
Surgery
Trauma
United Kingdom
White
Women
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Summary:A 63-year-old woman presented with a low energy pelvic fracture, which showed no signs of healing. Initial fractures were to the right hemipelvis, later followed by a right fractured neck of femur. We present a complicated patient journey, management dilemmas and highlight the growing concern with long-term bisphosphonate treatment.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2014-206319