[由于使用双酸盐而导致的双侧大腿骨折]
Joey F H Reijmer1, Thomas J A van Schaik1,2, Mechteld A R Vermeulen3
1Canisius Wilhelmina Ziekenhuis, Nijmegen. Afd. Chirurgie.
Nederlands tijdschrift voor geneeskunde
|May 1, 2025
概括
长期使用双酸盐超过5年会增加非典型股骨折 (AFF) 的风险. 对于受影响的患者,建议停止使用双酸盐和监测骨折.
科学领域:
- 整形外科 整形外科 整形外科
- 药理学 药理学是指药理学的学科.
- 放射学 放射学是一门学科.
背景情况:
- 双酸盐通常用于骨质疏松症.
- 长时间使用双酸盐与非典型股骨骨折 (AFFs) 的风险增加有关.
研究的目的:
- 描述非典型股骨骨折的特征和治疗方法.
- 为诊断和治疗与双酸盐相关的AFF提供建议.
主要方法:
- 对AFFs的临床表现和成像发现的审查.
- 分析当前的治疗指南和建议.
主要成果:
- 通常情况下,AFF在经历了最小的创伤后呈现为横向下骨折.
- 逆侧大腿部成像和潜在的预防性固定是至关重要的.
- 对于自发骨折的患者,建议停止使用双酸盐.
结论:
- 对于双酸盐诱导的AFFs患者来说,早期识别和管理至关重要.
- 建议在骨折后至少两年定期进行放射性监测.
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