Bilateral ulna fractures associated with bisphosphonate therapy
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- Ang, B.F.H., Koh, J.S.B., Ng, A.C.M. et al. Osteoporos Int (2013) 24: 1523. doi:10.1007/s00198-012-2118-3
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We report a case of bilateral ulna stress fractures following bilateral femoral fractures associated with long-term bisphosphonate use. The patient is an 84-year-old woman receiving 15 years of bisphosphonate therapy. She did not have any preexisting medical conditions which are known secondary causes of bone loss. She was mostly housebound and used a walking frame for ambulation. She presented with atraumatic right ulna pain and subsequent atraumatic left ulna pain a month later. She was treated conservatively in backslabs and her bisphosphonate was stopped. Investigations did not reveal any secondary causes of osteoporosis or metabolic bone disorders.