Anesth Pain Med Search


Spinal Pain
Anesthesia and Pain Medicine 2014;9(3):170-173.
Published online July 31, 2014.
Femoral subtrochanteric insufficiency fracture after long-term bisphosphonate therapy masked from foraminal stenosis of lumbar spine: A case report
Jung Eun Kim, Bong IL Kim, Jong Hae Kim, Tae Ha Ryu, Hyun Jin Sung, Myung Rae Cho
1Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Korea.
2Department of Orthopedic Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea.
Received: 15 November 2013   • Revised: 6 February 2014
We present a case of an insufficiency fracture of the subtrochanteric region of the femur in a 78-year-old woman masked by lumbar spinal foraminal stenosis. She complained of pain and a tingling sensation in the anterior and lateral side of the right thigh, leg, and ankle. Selective transforaminal epidural (L4-5, Rt.) and caudal block were done under the diagnosis of lumbar foraminal stenosis. The tingling sensation was completely relieved, but the pain was not completely relieved. The patient had been receiving bisphosphonate therapy for 6 years under the diagnosis of osteoporosis. We performed magnetic resonance imaging, which showed a unicortical break line and marrow edema around the hypertrophied area. Surgery was done. In cases with incomplete relief of the pain in the thigh following epidural block, physicians should keep in mind the possibility of femoral insufficiency fracture in patients who have received long-term bisphosphonate therapy.
Key Words: Bisphosphonate, Femur, Subtrochanteric insufficiency fracture
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,104 View
  • 7 Download
Related articles in Anesth Pain Med

Article category

Browse all articles >


Browse all articles >

Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail:                

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next