Persistent Bilateral Atypical Femoral Fractures in an Antiresorptive-Naïve Singaporean Chinese Patient with Graves’ Disease
DOI:
https://doi.org/10.15605/jafes.038.02.17Keywords:
Atypical femoral fracture, Bisphosphonates naive, Antiresorptive naive, Hyperthyroidism, Asian ethnicityAbstract
Atypical femoral fractures (AFFs) are rare adverse effects of bisphosphonate therapy. We report an unusual case of bilateral diaphyseal AFFs in an antiresorptive-naïve Singaporean Chinese female with Graves’ disease. She presented with complete right AFF requiring surgical fixation, and persistent left incomplete AFF for over four years. Femoral bowing, varus femoral geometry, and ethnic influence likely contributed to the AFFs’ formation. This case may provide insights into the pathogenesis of AFFs in high-risk Asian populations.
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Copyright (c) 2023 Kuan Swen Choo, Lily Mae Dacay, Le Roy Chong, Linsey Utami Gani
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