Double Fixation: Bilateral Bisphosphonate-Related Hip Fractures

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Presentation transcript:

Double Fixation: Bilateral Bisphosphonate-Related Hip Fractures Lisa N. Miura, MD, Sandhya V. Srikantom, MD, Joseph Schenck, MD  The American Journal of Medicine  Volume 130, Issue 1, Pages e13-e15 (January 2017) DOI: 10.1016/j.amjmed.2016.06.044 Copyright © 2016 Terms and Conditions

Figure 1 Pelvis anterior–posterior plain film demonstrates a right subtrochanteric hip fracture (hollow arrow) with a transverse orientation and lateral cortical thickening. Also note characteristic beaking of the contralateral left lateral femoral cortex (white arrow). The American Journal of Medicine 2017 130, e13-e15DOI: (10.1016/j.amjmed.2016.06.044) Copyright © 2016 Terms and Conditions

Figure 2 T2-weighted coronal magnetic resonance imaging view of the right hip, showing the typical hyperintense enhancement of the lateral femoral cortex fracture site (striped arrow) seen in bisphosphonate-induced fracture patterns. Hip anatomy landmarks: femoral head (spotted arrow), femoral neck (white arrow), and greater trochanter (black arrow). The American Journal of Medicine 2017 130, e13-e15DOI: (10.1016/j.amjmed.2016.06.044) Copyright © 2016 Terms and Conditions

Figure 3 Preoperative T2-weighted coronal magnetic resonance imaging view of the left hip with evidence of a stress reaction with characteristic bone edema, which appears as a hyperintense area (arrow) in the subtrochanteric region. The American Journal of Medicine 2017 130, e13-e15DOI: (10.1016/j.amjmed.2016.06.044) Copyright © 2016 Terms and Conditions

Figure 4 Plain radiograph of the left hip taken postoperatively after having a prophylactic cephalomedullary fixation. The American Journal of Medicine 2017 130, e13-e15DOI: (10.1016/j.amjmed.2016.06.044) Copyright © 2016 Terms and Conditions