Rehan Riaz MD, Presenter: Nothing to Disclose

Shehbaz Shaikh MD, Abstract Co-Author: Nothing to Disclose

Matthew Brennan OBrien MD, Abstract Co-Author: Nothing to Disclose

Ishani B. Dalal MD, Abstract Co-Author: Nothing to Disclose

1. Review the revised definition, epidemiology and characteristics of atypical femoral fractures. 2. Recognize the pattern of subtrochanteric fractures associated with bisphosphonate therapy and the appearance on radiographs, scintigraphy and MR imaging. 3. Increase awareness in the role of the Radiologist in early diagnosis and reducing patient morbidity. 4. Brief overview of current literature and evidence for prophylactic nailing improving patient outcomes.  

I. Introduction to Bisphosphonates as a Drug II. Mechanism of atypical subtrochanteric femur fractures vs stress fractures Revised case definition by American Society of Bone and Mineral Research (ASBMR) III. Epidemiology of atypical femur fractures IV. Characteristic appearance using multimodality examples      Radiographs      Scintigraphy      MR V. Case Examples VI. Brief overview of current literature and evidence for prophylactic nailing improving patient outcomes VII. Conclusion Radiographic findings play a crucial role in the workup of atypical fractures in patients using long-term Bisphosphonate therapy. The revised definition by the American Society of Bone and Mineral Research emaphasizes the imaging characteristics to make a diagnosis. The use of prophylactic nailing is emerging to reduce patient morbidity.    

http://abstract.rsna.org/uploads/2014/14001689/14001689_brxa.pdf

Riaz, R, Shaikh, S, OBrien, M, Dalal, I, Don’t Get Stressed Out about Stress Fractures: Pattern Recognition of Atypical Fractures in Patients Using Long-Term Bisphosphonate Therapy  .  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14001689.html