Introduction
This is a case report of bilateral subtrochanteric stress fractures related to long-term bisphosphonate use.
Presentation
69 year-old male with acute exacerbation of left hip pain after a ground-level fall. He gave a history of a few months of mild bilateral hip pain prior to the fall. He had been taking risedronate for approximately 3-4 years prior to the fall.
Physical exam reveals significant tenderness over the bilateral proximolateral femurs (L>R) as well as pain at the endpoints of rotation and flexion of the hips bilaterally (L>R).
Management
Due to the patient’s medical history (e.g. coronary artery disease s/p CABG) the left femur only was treated during the hospitalization, as it was the most symptomatic side. Postoperative rehab included weight bearing as tolerated on the left side and touchdown weight bearing on the right. The patient’s right leg will be re-evaluated at two-weeks post op and decision for operative vs. continued nonoperative treatment will be made at that time.
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Discussion
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