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Atypical femoral fracture is a known complication of patients receiving long-term bisphosphonates for osteoporosis. Recognizing early radiographic features is important to provide timely care and management before the development of a more debilitating complete fracture with its associated morbidity and mortality. We report a case of a 72-year-old lady on long-term treatment with alendronate, who presented initially with groin pain and subsequently with a femoral fracture, without any major trauma. The initial radiographic finding of focal thickening along the lateral cortex of the proximal femur was missed.

international journal of recent surgical and medical science

Focal Cortical Thickening along the Lateral Aspect of the Proximal Femoral Shaft: A Warning Radiographic Sign for Subsequent Complete Atypical Femoral Fracture in Patients on Bisphosphonates