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Korean J Med > Volume 87(2); 2014 > Article
The Korean Journal of Medicine 2014;87(2): 240-244.
류마티스관절염 환자에서 발생한 비정형 대퇴골 골절의 1예
김담1,2, 정소담2, 손창남1,2, 최지영1,2, 이승훈3, 김이석4, 성윤경1,2
1한양대학교 류마티스병원 류마티스내과
2한양대학교 의과대학 내과학교실
3한양대학교 의과대학 영상의학과교실
4한양대학교 정형외과학교실
Atypical Femoral Fracture in a Patient with Rheumatoid Arthritis
Dam Kim1,2, Sodam Jung2, Chang-Nam Son1,2, Ji-Young Choi1,2, Seunghun Lee3, Yee-Suk Kim4, Yoon-Kyoung Sung1,2
1Departments of Rheumatology, Hospital for Rheumatic Diseases, Seoul, Korea
2Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
3Radiology, Hanyang University College of Medicine, Seoul, Korea
4Orthoperdic Surgery, Hanyang University College of Medicine, Seoul, Korea
Corresponding Author: Yoon-Kyoung Sung ,Tel: +82-2-2290-9250/9207, Fax: +82-2-2298-8231, Email: sungyk@hanyang.ac.kr; sung.yk@gmail.com
Received: August 26, 2013;   Revised: September 23, 2013;   Accepted: November 11, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Atypical femoral fractures are characterized by a subtrochanteric or diaphyseal location. Recent studies have suggested that long-term treatment with bisphosphonates might be associated with the occurrence of atypical femoral fractures. The present report describes a case involving a 60-year-old woman with left buttock pain that was unassociated with trauma. Her hip pain was initially considered to be a symptom of her underlying rheumatoid arthritis, but a plain radiography, bone scintigraphy, and magnetic resonance imaging revealed an insufficiency fracture in the lateral shaft of the left proximal femur. She had been treated with a bisphosphonate for 4.5 years because of a previous vertebral fracture. Her chronic, long-term rheumatoid arthritis and history of bisphosphonate administration were considered to be associated with the development of her atypical femoral fracture.
Keywords: Femoral fracture; Arthritis, Rheumatoid; Alendronate
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