{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T06:01:07Z","timestamp":1674108067413},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["jocr"],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p>Introduction: Long-term bisphosphonate use has been linked to an increased risk of pathological neck of femur fractures.  Case Presentation: We write concerning a patient who presented with left hip pain following a low impact fall, which was diagnosed as a pathological left neck of femur fracture. This was a subtrochanteric stress fracture most frequently seen in patients who take bisphosphonate medications. A key point of difference in our patient is the length of time of bisphosphonate use. A further interesting point was the method of imaging used to diagnose this fracture whereby plain radiographs and computerized tomography imaging both did not show any acute fracture whereas only a magnetic resonance imaging (MRI) hip demonstrated this fracture. Surgical insertion of a prophylactic intramedullary nail was done to stabilize the fracture and reduce the risk of progression to a complete fracture.  Conclusion: This case brings up multiple key points not reviewed previously such as the fact a fracture developed only 1 month after bisphosphonate use rather than months or years. These points suggest that there should be a low threshold for investigation (including MRI scanning) into potential pathological fractures and that bisphosphonate use should be a red flag to initiate these investigations regardless of length of use.  Keywords: Atypical stress fractures, bisphosphonate use, magnetic resonance imaging.<\/jats:p>","DOI":"10.13107\/jocr.2022.v12.i10.3376","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T10:01:43Z","timestamp":1674036103000},"page":"78-82","source":"Crossref","is-referenced-by-count":0,"title":["Case Report \u2013 Short-term Bisphosphonate Use Associated Stress Fractures"],"prefix":"10.13107","volume":"12","author":[{"given":"Arshan J.","family":"Dadrewalla","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Battle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond","family":"Anakwe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2022]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T10:01:47Z","timestamp":1674036107000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2022\/10\/10\/case-report-short-term-bisphosphonate-use-associated-stress-fractures\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022]]},"published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2022.v12.i10.3376","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]}}}