与长期使用双酸盐相关的严重非典型腹翼骨折
John Kelliher1,2, George Rahmani3, John J Carey3,4
1University Hospital Galway, Galway, Ireland. John.kelliher2@hse.ie.
Skeletal radiology
|July 20, 2024
概括
长期的双酸盐治疗可能会导致罕见的非典型骨折,包括孤立的腹翼骨折. 这一案例凸显了在患有不明原因骨损伤的患者中考虑双酸盐相关骨折的重要性.
科学领域:
- 整形外科 整形外科 整形外科
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 双酸盐通常用于治疗骨质疏松症和骨转移.
- 长期使用双酸盐与非典型骨折有关,通常在股骨中.
- 这些骨折往往发生在没有重大创伤的情况下.
研究的目的:
- 报告与长期双酸盐治疗相关的隔离性阴翼骨折的第一个病例.
- 提高对这种罕见但重要的差异诊断的认识.
主要方法:
- 一个63岁的绝经后妇女的病例报告,她患有严重的部疼痛和下翼骨折.
- 患者有乳腺癌史和长期使用双酸盐.
- 图像 (CT,DEXA) 和临床检查用于诊断.
主要成果:
- 在没有创伤或转移性疾病的情况下,诊断出孤立的下翼骨折.
- 骨折成功地得到了保守的治疗.
- 该患者的双酸盐治疗在介绍前三年已停止.
结论:
- 这是第一次报告与长期双酸盐治疗相关的隔离性阴翼骨折的病例.
- 长期服用双酸盐的患者的非典型骨折需要仔细评估.
- 这种罕见的并发症应在无法解释的骨折的差异诊断中考虑.
更多相关视频
相关概念视频
Chronic Bowel Disorders: Introduction
438
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
438
Inflammatory Bowel Disease II: Crohn's Disease
210
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
210
Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K
Peptic Ulcer Disease IV: Management
83
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
83
Flail Chest-II
161
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
161


