To the Editor: Our experience has been very similar to thatdescribed by Lenart et al. (March 20 issue)1 in their reporton atypical fractures of the femoral diaphysis. These fractureshave a distinctive pattern and most likely represent completionof a stress fracture (Figure 1). In our series,2 64.3% of thepatients had involvement of the contralateral femur. In addition,76% of the patients had documented prodromal symptoms of thighpain, vague discomfort, or subjective weakness; these symptomswere often dismissed or treated as symptoms of spinal stenosis."Giving way" of the involved limb immediately preceded the . . . [Full Text of this Article]
Kennel, K. A., Drake, M. T.
(2009). Adverse Effects of Bisphosphonates: Implications for Osteoporosis Management. Mayo Clin Proc.
84: 632-638
[Abstract][Full Text]
Leung, F., Lau, T.-W., To, M., Luk, K. D.-K., Kung, A. W. C.
(2009). Atypical femoral diaphyseal and subtrochanteric fractures and their association with bisphosphonates. BMJ Case Reports
2009: bcr1020081073-bcr1020081073
[Abstract][Full Text]