Atypical femoral fractures related to bisphosphonate therapy
A 71-year-old woman presented with pain for four months around her left hip. She was on BP (alendronate) for 10 years. The radiograph showed mild thickening and beaking of the lateral cortex of the upper shaft of femur, below the level of the trochanter []. She was managed with withdrawal of BP and limitation of weight bearing to prevent development of a fracture. Her symptoms improved over a period of 3-4 months. There was no subsequent development of fracture and she was asymptomatic at follow up after one year.