An Atypical Fracture

  • Maricel Dela Cruz, DO, MPH, FAWH Aria Jefferson Health, Department of Family Medicine, Langhorne, PA
  • Robert Danoff, DO, MS, FACOFP, FAAFP Aria Jefferson Health, Department of Family Medicine, Langhorne, PA


An 81-year-old female with a past medical history of osteoporosis, hypertension, hypercholesterolemia, and gastroesophageal reflux disease presented to her family practice office in hospital follow-up of a right leg injury she sustained six weeks prior. She had a mechanical fall at home and was taken to the emergency department by ambulance, and underwent x-ray imaging (See Figure 1, 2). Her medications included daily carvedilol, lisinopril, ranitidine, and simvastatin, as well as an eight-year use of weekly oral alendronate. The patient suffered a right diaphyseal (mid-shaft) fracture of the femur and subsequently underwent orthopedic repair with open reduction and internal fixation. The patient was diagnosed with fragility fracture secondary to a history of osteoporosis and fall from standing. Upon discharge, she was kept on alendronate. The patient completed inpatient rehabilitation and later brought the following images to her primary care physician.

How to Cite
Cruz, DO, MPH, FAWH, M. D., and R. Danoff, DO, MS, FACOFP, FAAFP. “An Atypical Fracture”. Osteopathic Family Physician, Vol. 10, no. 2, Apr. 2018,
Clinical Images