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Korean J Med > Volume 87(2); 2014 > Article
The Korean Journal of Medicine 2014;87(2): 240-244.
๋ฅ˜๋งˆํ‹ฐ์Šค๊ด€์ ˆ์—ผ ํ™˜์ž์—์„œ ๋ฐœ์ƒํ•œ ๋น„์ •ํ˜• ๋Œ€ํ‡ด๊ณจ ๊ณจ์ ˆ์˜ 1์˜ˆ
๊น€๋‹ด1,2, ์ •์†Œ๋‹ด2, ์†์ฐฝ๋‚จ1,2, ์ตœ์ง€์˜1,2, ์ด์Šนํ›ˆ3, ๊น€์ด์„4, ์„ฑ์œค๊ฒฝ1,2
1ํ•œ์–‘๋Œ€ํ•™๊ต ๋ฅ˜๋งˆํ‹ฐ์Šค๋ณ‘์› ๋ฅ˜๋งˆํ‹ฐ์Šค๋‚ด๊ณผ
2ํ•œ์–‘๋Œ€ํ•™๊ต ์˜๊ณผ๋Œ€ํ•™ ๋‚ด๊ณผํ•™๊ต์‹ค
3ํ•œ์–‘๋Œ€ํ•™๊ต ์˜๊ณผ๋Œ€ํ•™ ์˜์ƒ์˜ํ•™๊ณผ๊ต์‹ค
4ํ•œ์–‘๋Œ€ํ•™๊ต ์ •ํ˜•์™ธ๊ณผํ•™๊ต์‹ค
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: 2013. 8. 26;  Accepted: 2013. 11. 11.
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.
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ABSTRACT
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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