alexa Non-Union of a Tibial Stress Fracture in a Young Female
ISSN: 2329-9509

Journal of Osteoporosis and Physical Activity
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Case Report

Non-Union of a Tibial Stress Fracture in a Young Female Taking Bisphosphonate Medication

Jonathan Evans*, Daniel William and Mark Norton
Orthopaedic Department, Royal Cornwall Hospital, UK
Corresponding Author : Jonathan Evans
Orthopaedic Department
Royal Cornwall Hospital, UK
Tel: 44 07974987989
E-mail: [email protected]
Received May 05, 2014; Accepted August 23, 2014; Published August 29, 2014
Citation: Evans J, William D, Norton M (2014) Non-Union of a Tibial Stress Fracture in a Young Female Taking Bisphosphonate Medication. J Osteopor Phys Act 2:124. doi:10.4172/2329-9509.1000124
Copyright: © 2014 Evans J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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The authors present the case of a 27 yr old female who failed conservative management for a tibial stress fracture. The patient was known to suffer from “Female Athlete Triad” and as a consequence of decreased bone mineral density had been started on long-term bisphosphonates. Though this medication has been proposed as a treatment for stress fractures, an anabolic homeostatic bone state is required; this is known to be deficient in the presence of eating disorder and low body mass index. A non-fibrous atrophic non-union was found at the time of surgery. The patient has responded well to operative fixation including bone graft and modification of risk factors, which included stopping bisphosphonate therapy.


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