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비전형적 대퇴골 골절

Title
 비전형적 대퇴골 골절 
Other Titles
 Atypical Subtrochanteric and Diaphyseal Femoral Fractures 
Authors
 양규현 ; 송형근 
Issue Date
2011
Journal Title
 Korean Journal of Bone Metabolism(대한골대사학회지) 
ISSN
 1598-107X 
Citation
 Korean Journal of Bone Metabolism(대한골대사학회지), Vol.18(2) : 85~92, 2011 
Abstract
Increasing numbers of atypical subtrochanteric fractures have been reported among long-term bisphosphonate users. However, the nature and extent of the problem are unknown despite recent investigations. The task force of American Society for Bone and Mineral Research (ASBMR) defined major and minor features of complete and incomplete atypical femoral fractures; transverse or short oblique orientation, minimal or no associated trauma, a medial spike when the fracture is complete, and absence of comminution. Minor features include their association with cortical thickening, a periosteal reaction of the lateral cortex, prodromal pain, bilaterality, delayed healing, comorbid conditions, and concomitant drug exposures, including bisphosphonate, glucocorticoids, and proton pump inhibitors. Based on published data, the incidence of atypical femoral fractures associated with bisphosphonate therapy for osteoporosis appears to be very low, particularly compared with the number of vertebral, hip, and other fractures that are prevented by bisphosphonate. Physicians and patients should be aware of the possibility of atypical femoral fractures and of the potential for bilaterality
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94864
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Orthopedic Surgery
Yonsei Authors
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