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Bisphosphonates have been shown to increase the risk of AFF, and most cases of AFF are associated with bisphosphonate use. We present a unique case of AFF in a young woman with no history of bisphosphonate use. She was taking oral contraceptive pills and inhaled corticosteroids for asthma. Later, she was diagnosed with nutritional osteomalacia. The patient was managed surgically with bilateral intramedullary nailing, resulting in a favorable outcome.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf020","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T15:45:41Z","timestamp":1737560741000},"source":"Crossref","is-referenced-by-count":0,"title":["Atypical femoral fracture in a patient with nutritional osteomalacia: a case report and literature review"],"prefix":"10.1093","volume":"2025","author":[{"given":"Mohammed","family":"Alshehri","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Ministry of the National Guard \u2013 Health Affairs , Riyadh ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrahman","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Ministry of the National Guard \u2013 Health Affairs , Riyadh ,","place":["Saudi 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