Table 1.
Patient | Sex/age (years) | BMI (kg/m2) | Prodromal pain duration (months) | BP (duration in years) | Indication | Comorbidities | Other medications | Fracture history | Fracture location | Radiolucent line | Overalla follow-up (months) |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | F/65 | 26.4 | 6 | Fosamax (5) | Osteoporosis | Scoliosis, uveitis, breast tumor (radiation) | HRT (30 years) | Ribs | Right shaft | − | 12 |
2 | F/85 | 31.2 | 24 | Fosamax (15) | Osteoporosis | History of breast cancer, enchondroma, hypertension | Angiotensin converting enzyme inhibitor | Rib, humerus | Bilateral shaft | − Bilaterally | 14 |
3 | F/63 | 37.3 | Not available | Fosamax (4) | Osteoporosis | Hypertension | Aspirin, Thiazide | – | Bilateral shaft | Right: −; left: + | 26 |
4 | F/50 | 18.3 | 0.5 | Actonel (10) | Fractures | Ehlers–Danlos syndrome | Corticosteroid, birth control | Ankle, hand, foot, rib | Left ST | + | 6 |
5 | F/65 | 29.2 | 5 | Fosamax (10) | Osteopenia | Phlebitis | Warfarin | Right femur (atypical) | Bilateral shaft | + Bilaterally | 12 |
6 | F/71 | 21.3 | 7 | Fosamax (17) | Osteopenia | – | HRT | – | Left ST | + | 26 |
7 | F/82 | 22.5 | 9 | Fosamax (7) | Osteoporosis | Hypertension, Reflux, history of radiation | Omeprazole, nifedipine | – | Left shaft | + | 10 |
8 | F/59 | 37.5 | 8 | Fosamax (7) | Osteoporosis | Breast cancer, hypothyroidism | Synthroid, omeprazole | Right femur (atypical) | Left ST | + | 36 |
9 | F/63 | 24.8 | 12 | Fosamax (15) | Osteoporosis | Hypothyroidism, osteochondroma | HRT (14 years), omeprazole | – | Bilateral shaft | Right: −; left: + | 36 |
10 | F/65 | 22.7 | 24 | Fosamax (14) | Osteoporosis | Hypertension | Simvastatin, amlodipine | Left femur (atypical) | Right shaft | Yes (anteriorly) | 24 |
aOverall follow-up is the follow-up time since the time of diagnosis of the stress fracture
F female, BMI body mass index, BP bisphosphonate, HRT hormone replacement therapy, ST subtrochanteric